Certified Medical Biller
3 weeks ago
***URGENT OPPORTUNITY***
MUST BE ABLE TO START ASAP
Location: Remote
Employment Type: Part-Time, with the opportunity to be converted to Full-Time
Position Summary:
Medical Billing Company seeking certified Medical Biller with 2+ years of experience in a healthcare setting. Workers' Compensation experience preferred.
Primary Responsibilities:
- Submits coded claims to insurance carriers and interprets EOBs.
- Completes all necessary insurance forms (i.e. HCFA 1500, Blue Cross/Blue Shield, Medicare, etc.). to process the proper billing information in a timely manner.
- Resolves rejected and denied claims; corrects and resubmits claims as necessary.
- Files all claims, documentation, etc. in electronic patient files.
- Provides all necessary documentation (on or with HCFA1500) requested. This includes demographic, authorization/referrals, and referring doctors. -Obtains appropriate medical records, with patient and/or responsible party authorization on file, as they relate to the billing process.
- Posts charges to patient charts to ensure accurate record keeping.
- Responds to and resolves patient billing issues and communicates resolution to patients.
- Make phone calls to insurance companies to follow-up on unanswered appeals.
- Review each account on the status aging report. If no response, present account for collections/lien to the Billing Manager for collection decision.
- Responds to requests for additional information needed by the carrier to make determination of payment.
- Communicates with adjusters to obtain approvals; submits Requests for Authorizations.
- Other duties as assigned.
Required Experience:
- High school graduate or equivalent
- Minimum 2+ years experience in claim processing required
- Medical Billing and Coding Certification required
- Proof of Active Medical Billing Certification
- Knowledge of CPT/ICD-10/HCPCS Codes
- Ability to interpret Explanation of Benefits (EOB)
- Workers' Compensation Billing
- In-depth knowledge of Government, Commercial and Workers' Compensation insurances and demonstrated proficiency in the interpretation of carrier contracts.
- Ability to resolve problems with, rejected, disputed and denied claims.
- Ability to effectively communicate with health care professionals and third-party providers on payment and claim issues.
- Fluent in English
Preferred Experience:
- Workers' Compensation Case Management
- Credentialing experience
- Athena Software
- Claim.MD
- Klara Software
- Availity
- ClaimTek Software
Pay Range: Starting at $24-$30 per hour
Company DescriptionMedical Billing Company seeking certified Medical Biller with 2+ years of experience in a healthcare setting. Workers' Compensation experience preferred.Company DescriptionMedical Billing Company seeking certified Medical Biller with 2+ years of experience in a healthcare setting. Workers' Compensation experience preferred.-
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