Medical Biller

DeliverIt Pharmacy is an independent provider of home and clinical infusion services that position patients at the center of our distinctive and tailored approach to care.

We're very excited to continue to grow our team and share our passion

Thank you in advance for looking at the list of responsibilities and qualifications.

We look forward to reviewing your resume

**Benefits**:

- Competitive pay.
- Competitive benefits.
- Positive environment with a strong and supportive team.
- Opportunities to learn and grow within the Infusion & Specialty field.

**Essential Roles & Responsibilities**:

- Processing electronic claims accurately, timely, and being persistent with aging accounts.
- Transferring paid claims to secondary insurance carriers, copay assistance programs either electronically, through their online portal, or digital fax.
- Processing denials and secondaries promptly, including claim reconsiderations and case openings.
- Submitting appropriate documentation for adjustments to supervisor.
- Working on aging accounts daily to strive for all outstanding claims being paid within 90 days.
- Aggressively working to ensure prompt payments for claims older than 90 days.
- Performing successful medical insurance, CMS, and PBM audits with positive outcomes.
- Assisting month-end closings as scheduled, to assure timeliness.
- Working collaboratively with other departments, including intake, nursing, and billing, to improve timely reimbursement process and results.
- Adhering to those performance programs, policies, procedures, guidelines, and internal control standards established to guide the operation of the company.
- Daily monitoring of outstanding accounts and claims.
- Identifying outstanding accounts receivable, including hospital LOA's, Single Case Agreements with insurance companies, house accounts, and inner company invoices.
- Being proactive in contacting house and patient accounts to encourage timely payments as well as setting up patient payment plans.
- Processing credit card payments and refunds.
- Resolving billing issues with payors.
- Submitting requested information from payors through their portal to ensure prompt payments of outstanding claims.
- Resolving customer credit issues.
- Processing all medical records requests in a timely manner.
- Preparing and presenting reports on collection activities and progress of unpaid claims in monthly A/R meeting with management.
- Notifying the supervisor of problem accounts.
- Performing other duties as assigned.

**Qualifications**:

- Working knowledge of medical terminology.
- Knowledge of HCPCS, ICD-10, and NDC coding.
- Knowledge of electronic billing.
- Experience with working on open claims in Change, Availity, CareTend, and Online Insurance Portals.
- Experience dealing with insurance rejections, reconciliations, and high dollar patient accounts.
- Excellent calculation/math skills.
- Ability to understand insurance contracts for billing purposes.
- Ability to prioritize and handle multiple tasks and projects concurrently.
- Strong interpersonal and communication skills and the ability to work effectively with branch departments.
- Demonstrated knowledge and proficiency in the principles, procedures, and best practices related to this position.
- Proficient level of software proficiency in using PC software to support activities, especially Microsoft Office, Excel, Teams, Word, and WhatsApp.
- The ability to work with confidential material and maintain confidentiality is required along with sensitivity to employees and customers needs and data while adhering to HIPAA compliance.
- Strong attention to detail.
- Proficient analytical skills.
- Accounting experience is preferred.

**Proficiency in any of the following languages is encouraged, but not required**:
Spanish

Arabic

French

Vietnamese

Hindi

Gujarati

Urdu

Pay: Up to $25.00 per hour

Expected hours: 40 per week

**Benefits**:

- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance

Schedule:

- 8 hour shift
- Monday to Friday

Work setting:

- Clinic
- Medical office
- Office

Application Question(s):

- Do you have experience with Change or Availity or CareTend insurance portals?

**Education**:

- Associate (preferred)

**Experience**:

- HCPCS: 2 years (preferred)
- NDC: 2 years (preferred)
- ICD-10: 2 years (preferred)
- Microsoft Office: 2 years (preferred)
- High dollar medical accounts: 2 years (preferred)
- Medical billing: 2 years (preferred)
- GAAP: 2 years (preferred)

License/Certification:

- Medical Billing Certification (preferred)

Ability to Relocate:

- Sugar Land, TX 77478: Relocate before starting work (required)

Work Location: In person