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![Insight Global](https://media.trabajo.org/img/noimg.jpg)
Medical Biller
1 month ago
Davie, United States
Insight Global
Full time
Position: Medical Billing Specialist
Location: On Site in Davie, FL
$18-19 Hourly Based On Experience
Looking to HIRE RIGHT AWAY
Full time Hours:
- Monday- Friday: 10am-6pm
- Saturday: 10 am-3pm
Must haves:
- 3+ years' experience years of healthcare or medical billing support experience.
- General knowledge of MS Office Suite (Outlook, Word and Excel).
- General knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, designing forms, and other office procedures and terminology
- Customer and Personal Service - General knowledge of principles and processes for providing customer and personal services. This includes needs assessment, meeting quality standards for services, and evaluation of user satisfaction
Responsibilities:
- Responds to inquiries and resolves discrepancies involving moderately complex financial transactions in a timely manner, requiring a general understanding of work-area policies and procedures.
- Reviews, follows up, and appeals for aged insurance balance accounts to ensure timely revenue collection through use of EDI clearinghouse, payer portals, worklog and reports for NextGen and/or Axium.
- Reviews and processes delinquent unpaid accounts by patients accounts eligible for collections.
- Processes referrals or authorizations as required by payers.
- Processes claims for multiple payer types (Commercial, Managed Care, Blue Cross, Medicare, Medicaid, etc.).
- Ensures assigned claims meet clearinghouse and/or payer processing criteria.
- Ensures appropriate follow-up on assigned work lists.
- Ensures work meets departmental productivity and quality review standards.
- Communicates issues regarding claims follow-up process and potential resolutions.
- Works with payer response reports and rejection reports to meet Departmental Productivity and Quality Review Standards. Complies with federal, state, and company policies, procedures, and regulations.
- Operates computers programmed with accounting software to record, store, and analyze information.
- Operates 10-key calculators, typewriters, and copy machines to perform calculations and produce documents.
- Debits, credits, and totals accounts on computer spreadsheets and databases, using specialized accounting software.
Checks figures, postings, and documents for correct entry, mathematical accuracy, and proper codes