Medical Billing Representative
2 weeks ago
Medloop a large multi-specialty medical billing company servicing many clients across the US mostly in NY/NJ is looking for a talented and highly motivated Medical Billing Representative to resolve billing issues and work directly with clients to identify and manage efficient billing processes for optimal A/R outcomes. They also manage a broad array of projects in relation to claims resolution, payer tracking, website access, claims status inquiries, and direct carrier contact.
RESPONSIBILITIES:
- Serve as a liaison between patient, insurer, and practice
- Follow-up on patient accounts to assure claims for patient charges submitted to insurance companies are paid in a timely fashion
- Initiates prior authorization for all procedures requested by staff, providers, and or insurers.
- Prioritize and organizes all prior authorization activities
- Documents all prior authorization activities and record activity
- Excellent communication and organizational skills with a customer service focus
- Ability to read and understand EOB’s and ERA files
- Processing appeals
- Analyze and research denials
- Knowledge of CPT and ICD10 coding requirements
- Previous experience in a medical industry Is required
- Understanding of refunds/take-backs
- Knowledge of medical terminology
- Must have the ability to maintain confidential information
- Must have the ability to multitask and take initiative
- Must be able to identify and communicate billing inconsistencies
REQUIRED MINIMUM QUALIFICATIONS:
- High school diploma, or equivalent
- 2 years of medical billing experience, or medical billing training, or other experience in a healthcare setting
PREFERRED ADDITIONAL QUALIFICATIONS (not required):
- Working knowledge of Medicare, Medicaid, and Commercial payor claims and appeals processing requirements
- Familiar with writing appeals with successful outcomes
- General knowledge of ICD-10, CPT-4, and HCPC coding and CCI edits
- Ability to prioritize effectively and handle shifting priorities
- Self-starter with the ability to organize work for maximum efficiency and attention to quality
At Medloop we offer great opportunities with the potential for growth.
Benefits:
- Health Insurance
- 401K
- Great PTO Package
Job Type: Full-time (In the office)
Pay: $22-$26 per hour
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