Medical Biller Specialist

2 weeks ago


Oklahoma City, Oklahoma, United States TEKsystems Full time
Job Summary

We are seeking a skilled Medical Biller to join our team at TEKsystems. As a Medical Biller, you will be responsible for accurate and timely billing for all customers.

Key Responsibilities:

  • Achieve department goals in volume, production, quality, and customer service.
  • Perform Medicaid eligibility checks as required for accurate monthly billing and prepare monthly billing statements.
  • Create pre-bills and review for accuracy multiple times throughout the month.
  • Composite billing, including review of software limitations and error correction, claim submission and reject resolution, and split billing charges as appropriate.
  • Resolve rebilled rejected claims.
  • Research and process price matching requests along with monthly review/updates.
  • Obtain and enter applicable Hospice information, including formulary and payer adjudication details.
  • Respond to customer service calls and emails from facilities, patients, families, and responsible parties, and resolve reported issues through the online portal.
  • Review census for payer changes and update as needed.
  • Research and obtain documentation for claims requiring BAE.
  • Identify and process third-party and facility/private write-offs.
  • Review, process, and maintain DocuTrack billing documents queue.
  • Provide internal customer service by communicating with and assisting other departments on billing-related matters.
  • Review, research, and respond to third-party audits related to specific billing issues.
  • Financial Reporting: assigned daily, weekly, and monthly reports, facility short pay review and communication, routine billing open batch review/processing and communication, census receipt/PPD calculations, and facility and/or corporate communication.

Requirements:

  • 2+ years of Medical Billing experience preferred.
  • Experience handling 50+ customer service calls daily.
  • Excellent verbal and written communications, typing, computer, efficient, organization, attention to detail, and follow-up.
  • Ability to work under pressure, meet deadlines, accuracy, and medical terminology.
  • Experience Level: Entry Level.

About TEKsystems:

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe, and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information, or any characteristic protected by law.


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