Healthcare Biller Specialist
3 weeks ago
We are seeking an experienced Healthcare Biller to join our team at Independence Plus. As a Healthcare Biller, you will be responsible for processing and managing medical claims, prior authorizations, and insurance billing.
Key Responsibilities:- Process and manage medical claims, including reviewing EOBs, processing rejections and denials, and submitting claims for appeal.
- Verify benefits for orders and request prior authorizations/approvals for recurring and new referrals.
- Review claims and mail or electronically submit, resubmit, and correct claims using the Medi system.
- Maintain payer DSO goal at or below company standard.
- Review all necessary medical information to recertify existing patients.
- Process payer appeal requests within the required time frame.
- Review AR Aging Report daily for collection of aging receivables, determination of whether an adjustment is supported, and documentation of work.
- Research and medical criteria for coverage of equipment and supplies, quantity limitations, and requirements for submission.
- Full cycle healthcare billing experience with Medicaid, Medicare, and commercial insurance billing, prior authorization, and processing of batch work.
- Cash posting experience is a plus.
- Knowledge of HCPCS, CPT, and ICD-10 medical coding.
- Proficient with Excel, Medi, Avality, Connex, E-Care, Passport; and Brightree experience a plus.
- Strong oral and written communication skills.
- Teamwork and interpersonal skills.
- Ability to prioritize and multi-task providing a large work volume with a high level of efficiency.
- 2-3+ years of billing experience and familiarity with referral authorizations and third-party healthcare billing procedures.
Independence Plus is a leading provider of in-home nursing, rehabilitation, and high-tech medical equipment and supplies. We specialize in treating adult and pediatric patients with complex medical and respiratory needs, offering the highest quality one-on-one care (with 24/7 on-call support) so our patients are able to live at home and lead meaningful lives.
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Medical Biller Specialist
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Medical Biller Specialist
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