Third Party Follow-up Hospital Biller

1 month ago


Farmingdale, United States The Goodkind Group Full time
Job DescriptionJob Description

We are seeking a detail-oriented Biller with Hosptial Billing experience to join our team. The ideal candidate will have a strong background in medical billing and coding, ensuring accurate and timely processing of medical claims, insurance follow-up and knowledge of Third-Party rules and regulations.

Duties and Responsibilities:

  • Abide by HIPPA and FDCPA guidelines
  • Managing route to ensure all accounts are worked within assigned wait time
  • Call insurance companies for claims status
  • Check insurance eligibility
  • Check contract rates
  • Follow up on all billed claims to insurance carriers to ensure claims are processed and expedited
  • Follow up on incoming EOB’s
  • Responsible for accurate billing of all assigned accounts
  • Submission of claims to carriers after all information is available
  • Submits “clean claims” to Third Party Billing via e-permis
  • Keep updated with all current Third Party billing regulations
  • Filing claims/billing: Ability to accurately and completely perform Third Party billing via e-permis. All claims are billed on a 837 P (CMS 1500) claim form
  • Drafting and submitting appeals to the insurance carriers
  • Manual Cash Posting
  • Registration of ambulance accounts
  • Verifying MCD authorizations via website
  • Working denials
  • Handly day one self pay calls
  • Posting denials
  • Perform other duties as required and assigned

Education and Work Experience:

  • High School diploma necessary, college preferred
  • 1-3 years prior healthcare experience
  • 1-3 years of Hospital Billing/Follow-up
  • Any appropriate combination of education and experience

Skills and knowledge:

  • Good computer skills
  • Ability to work independently on assigned task as well as accept directions on given assignments
  • Excellent written and verbal communication skills
  • Knowledge of HIPPA and FDCPA
  • Working knowledge of Third Party rules, regulations and billing requirements

If you are a skilled Biller with a passion for accuracy and efficiency in medical billing processes, we invite you to apply for this opportunity.


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