Medical Biller

2 weeks ago


Blue Springs, Missouri, United States Medix Full time
Job Title: Medical Biller

Medix is seeking a skilled Medical Biller to join our team in the Blue Springs, MO area. As a Medical Biller, you will play a critical role in the revenue cycle process, ensuring timely and accurate submission of hospital and physician claims to third-party payers.

Key Responsibilities:
  • Use billing software to perform data entry and prepare hospital/physician bills for submission to third-party payers
  • Timely submission of primary/secondary hospital, physician, and clinic claims
  • Work A/R reports to follow up on un/under-paid claims on Medicare, Medicaid, Commercial, Auto Liability, and Work Comp claims
  • Identify and correct claim errors and system edits preventing successful electronic filing
  • Ensure timely submission of unprocessed, rejected or returned claims
  • Submit paper claims as required, i.e., work comp
  • Practice proactive denials management through effective communication between the Payers, MRS, and clients
  • Prepare and submit 1st and 2nd level appeals as necessary
  • Practice strict adherence to HIPAA and all required Compliance components
Requirements:
  • 3-5 years billing experience at a hospital group (Medicare, Medicaid and/or Commercial claims) - NO PHYSICIAN
  • Understanding of the claims billing process and medical code sets
  • Understanding of the A/R follow-up process
  • Knowledge of standard industry health plan structures
  • Proficiency in MS Office
  • Epic experience is most important
  • Cerner experience is also super important but one person doesn't have to have both
  • Good personality for client-facing work
Benefits:
  • Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances)
  • Health Benefits / Dental / Vision (Medix Offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan)
  • Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met
  • 401k (eligible on the first 401k open enrollment date following 6 consecutive months on assignment)
  • Short Term Disability Insurance
  • Term Life Insurance Plan

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