Medical Biller

Medical Biller Job Description
Job Purpose:
Provide excellent service to our clients by being proactive and efficient in solving claim and process issues. Generate revenue by submitting and collecting medical claim reimbursements from payers and patients; promptly following up on rejections or denials; monitoring and pursuing delinquent accounts; posting and managing account payments.

Reports to: Billing Director

**Responsibilities**:

- Prepares and submits clean claims using appropriate CPT codes, Dx codes, and modifiers to various third party payers either electronically or by paper.
- Answers questions from patients, office staff, providers and insurance companies.
- Identifies and resolves insurance and patient billing issues.
- Completes precertifications, verifications and authorizations as necessary
- Prepares, reviews and sends patient statements
- Tracks and reports status of delinquent accounts.
- Reviews accounts for possible assignment and makes recommendations to the Billing Director.
- Performs all actions necessary to collect valid payments including contacting payers by phone, correcting and resubmitting claims to third party payers.
- Processes payments from all payers and prepares daily activity reports.
- Participates in educational activities to improve your performance and to achieve/maintain your professional certification.
- Maintains strictest confidentiality on all company matters and adheres to all HIPAA and applicable privacy regulations
- Adhere to professional standards, MCB policies and procedures, federal, state, and local requirements, and industry standards.

**Qualifications**:

- A self-starter with a desire to join a winning team that expects your best every day
- A can do, problem solving attitude with excellent customer service skills and the highest ethical standards
- Medical Billing or Coding certification preferred
- Previous medical billing experience preferred
- Excellent organizational skills
- Working knowledge of electronic health records and practice management medical billing systems; knowledge of Tebra, ECW, drchrono or Clinix preferred
- Working knowledge of payer policies including commercial policies from BCBS, Aetna, Cigna, UHC, and government payers such as Medicare and Medicaid, and Auto and PIP carriers
- Excellent computer and keyboard skills with a working knowledge of Google and Microsoft Office products
- Ability to speak, read and write English fluently

Pay: $20.00 - $23.00 per hour

Expected hours: 40 per week

**Benefits**:

- 401(k)
- 401(k) matching
- Flexible schedule
- Paid time off

Schedule:

- Day shift
- Monday to Friday

Work setting:

- Remote

**Education**:

- High school or equivalent (preferred)

**Experience**:

- Customer service: 1 year (preferred)
- Medical Billing: 1 year (preferred)

Ability to Relocate:

- Pompton Lakes, NJ 07442: Relocate before starting work (required)

Work Location: Hybrid remote in Pompton Lakes, NJ 07442