Certified Medical Biller

3 weeks ago


Remote, United States Medical Billing Company Part time $24 - $30
Job DescriptionJob Description

***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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