Medical Biller
2 weeks ago
Empowering Wellness, Transforming Lives
Optima Medical Management Group is dedicated to enhancing the quality of life by promoting wellness. At Optima MMG and all of its divisions: Serene Health, A Positive Choice, and PsycHealth, our mission is to provide comprehensive support and care that not only addresses immediate concerns but also fosters long-term well-being.
As pioneers in the field, we aspire to lead in member care outcomes and set new standards for excellence and innovation. We are committed to empowering our members to achieve self-sufficiency in health, creating a ripple effect that strengthens families and communities.
Our work culture at Optima MMG is built on pride, passion, and a collective commitment to making a positive difference in people's lives. Our team members are dedicated problem-solvers who bring their unique skills and perspectives to the table. We believe that by fostering a collaborative and supportive environment, we can unlock the full potential of our team and, in turn, provide the best possible care to our members.
A career at Optima MMG is an opportunity to be part of a dynamic and forward-thinking organization. We encourage continuous learning and professional growth, providing our employees with access to industry experts, cutting-edge technologies, and a supportive community that values each individual's contributions. Join us on this journey to not only advance your career but to be a driving force in transforming lives and communities through passionate and fulfilling work
Medical Biller
Job Description
We are seeking a detail-oriented and experienced Medical Biller to join our team. The ideal candidate will be responsible for verifying patient information, assigning accurate medical codes, and submitting claims to insurance companies in a timely manner. Additionally, the candidate will play a crucial role in contract understanding, fee schedule application, insurance verification, and ensuring compliance with healthcare regulations.
Job Responsibilities
- Verify patient information, insurance details, and confirm coverage.
- Assign accurate medical codes and ensure compliance with reimbursement rates.
- Submit claims to insurance companies with precision and adhere to fee schedules.
- Thoroughly understand and review contracts with healthcare providers and insurers.
- Familiarize with fee schedules, ensuring accurate application to billed procedures.
- Communicate effectively with healthcare providers to address queries and discrepancies.
- Ensure billing practices align with contractual obligations.
- Monitor changes in contracts and update billing procedures accordingly.
- Handle appeals for denied claims when necessary.
- Provide ongoing training to staff on contract-related procedures and fee schedule updates.
- Perform other duties as assigned.
- High school diploma or GED required, BA degree preferred.
- 1-2 years of medical coding experience.
- Knowledge of healthcare privacy laws and compliance regulations.
- Proficient in Excel, PivotTables, Power BI.
- Experience retrieving electronic remittances from third-party clearing houses.
- Strong attention to detail and organizational skills.
- Effective communication and problem-solving abilities.
- Prolonged periods sitting at a desk and working on a computer
- Must be able to lift up to 15 pounds
Pay range
$22-$32 USD
Benefits
Our full-time employees are eligible for the following benefits enrollment after 60 days of employment:
Medical, Dental, & Vision Benefits: We have various insurance options for you and your family.
Short & Long-Term Disability Benefits: Protection when you need it most.
Voluntary Accident, Voluntary Critical Illness, and Voluntary Hospital Indemnity Plans: Added security for you and your loved ones.
Flexible Spending Accounts: Manage your finances with flexibility.
Employee Assistance Program (EAP): Support when life throws challenges your way.
401(K): Building your financial future with us. Effective after 1 year of employment.
Paid Vacation and Sick Leave: Flexibility for the planned and unplanned.
Paid Holidays: Quality time to enjoy celebrations.
Employee Referral Program: Share the opportunities and reap the rewards.
Company Discount Program: Enjoy savings on everyday expenses and memberships.
Equal Employment Opportunity
Optima Medical Management Group and its divisions are an Equal Opportunity Employer. Optima MMG is committed to providing employment opportunities for all qualified candidates without discrimination on the basis of race, religion, sex, sexual orientation, gender identity, age, national origin, citizenship, disability, marital status, veteran status, or any other characteristic protected by federal, state or local laws. Optima MMG is committed to providing reasonable accommodation for individuals with disabilities.
Pre-Employment
Optima Medical Management Group is a drug-free workplace. Employment is contingent upon a successful pre-employment drug screening and background check.
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