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Medical Biller
3 months ago
**Benefits**:
- 401(k)
- Company parties
- Competitive salary
- Dental insurance
- Free food & snacks
- Free uniforms
- Health insurance
- Paid time off
- Vision insurance
Duties include, but are not limited to:
- Oversee daily processing and submission of claims from practice management (PM) system to the clearinghouse and third-party payors.
- Our EMR is EClinical Works
- Continuously working the A/R and denials to prevent losses from timely filing and research denials to keep us informed accordingly.
- Proactively monitor for errors and issues and promptly resolve them to ensure payments are processed as not to exceed the timely filing rules.
- Resolve edits related to coding; obtain and review relevant documentation and ensure documentation supports services billed.
- Oversee the insurance correspondences, such Explanation of Benefits (EOB) and Coordination of benefits and researches appropriate claims steps, such as first or second appeal.
- Communicates with insurance carriers to track and check status of appeals.
- Work with insurance payors to ensure timely and accurate payments.
- Troubleshoot patient account issues, including direct resolution of billing issue with patients.
- Ensure accurate patient statements are sent out monthly along with analyzing patients accounts and recommend to collections accordingly.
- Ensure credentialing and privileging is accurately maintained with all payors and facilities, including the re-credentialing cycle.
- Perform other duties as may be assigned.
- This position is a Full time. Punctuality and forward thinking are a must.
**Experience**:
- Pediatric: 1 year (required)
- Medical Billing: 1 year (required)
- EClinical Works (Preferred but not required)
