Medical Biller
1 month ago
Consensus Health is seeking a highly skilled Medical Biller to join our team. As a Medical Biller, you will be responsible for checking eligibility and benefits, obtaining pre-authorizations, preparing and transmitting claims, posting payments, and following up on any unpaid claims or denials.
Key Responsibilities:- Verify patient eligibility and benefits for treatments and procedures
- Obtain pre-authorizations and referrals as required
- Prepare, review, and transmit claims using billing software
- Ensure timely billing of claims to remain compliant with CMG policies and payor guidelines
- Review patient bills for accuracy, completeness, and obtain any missing information
- Identify and bill secondary or tertiary insurances
- Address and correct claim issues assigned for practice resolution
- Update patient accounts to reflect accurate demographic and insurance information
- Answer patient or insurance telephone inquiries pertaining to assigned accounts
- Set up patient payment plans
- Work with MSO to accurately report accounts to the collections agency
- HS Diploma or GED required
- Minimum of 3-5 years of experience working as a medical biller, preferably in a patient practice setting
- Experience with variety of insurances
- EMR experience required, Athena preferred
- Knowledge of CPT & ICD-10 coding
- Must have working knowledge of medical terminology
- Ability to use independent judgment and to manage and impart confidential information
- Ability to analyze and solve problems; requires details, data and facts that must be analyzed and challenged prior to making decisions
- Strong communication and interpersonal skills
- Ability to clearly communicate medical information to professional practitioners and/or the general public
- Ability to maintain confidential information
- Excellent organization, prioritization, follow up, analytical and time management skills with ability to handle multiple priorities and deadlines
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