Third Party Follow-up Hospital Biller
1 month ago
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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