Medical Biller

Medical Biller - A/R
Baltimore, MD

MUST:
Experienced Medical Biller
2+ years of experience in a physician billing office
2+ years of Collections and A/R experience
PC proficiency
Accurate data entry skills
Knowledge of Client, EPIC, or similar computerized billing system
Knowledge of payers in specialty
Understanding of FSC's and pay codes used in Client system, and the importance of
compliance with all government regulations regarding billing
High school diploma or general education degree (GED) preferred

DUTIES:
Follow up on outstanding payers' A/R (Accounts Receivable) based on A/R report in accordance with timely filing limits.
Handling lockbox duties and/or account investigation, follow-up, and collections for moderately complex accounts
Contact insurance companies by phone, email, fax, and written correspondence to resolve issues preventing claims from being processed correctly, including verifying benefits and eligibility dates.
Working various denials from insurances including coverage in question, medical necessity, bundling, non-covered procedures, incorrect coding, credentialing, etc.
Communicate with coding staff to verify claims have been coded correctly and appeal claims that have been paid incorrectly.
Follow up on accounts when no response from the insurance carriers has been received.
Gather information regarding other pending claims on account and check status of claims utilizing the websites for various insurance companies.
Research, identify, and rectify any special circumstances or denial trends affecting resolution of patient account and provide the finds to the practice manager.
Identify and create batches for necessary billing adjustments.
Participate in monthly billing meetings.
Review statements and communicate the specific manner in which the claim processed with patients.
Perform other duties as directed by manager.
Quadrant is an affirmative action/equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, status as a protected veteran, or status as an individual with a disability.