Medical Biller Specialist

2 days ago


Vancouver, Washington, United States Vancouver Sleep Center LLC Full time
Job Summary

We are seeking a highly skilled Medical Biller Specialist to join our team at Vancouver Sleep Center LLC. As a key member of our revenue cycle team, you will be responsible for ensuring accurate and timely billing and account follow-up for our patients.

Key Responsibilities
  • Resolve insurance claim rejections and denials, and non-payment of claims by payors.
  • Identify trends in billing and follow-up, maintaining working knowledge of state and federal billing guidelines.
  • Responsible for drafting effective appeals to insurance companies for reimbursement of monies owed.
  • Responsible for maintaining daily account and follow-up work lists.
  • Work with DME specialist to ensure CPAP and BiPAP machine billing is appropriate and timely.
  • Responsible for identifying, researching, and resolving credit balances, missing payments and unposted cash as it pertains to billing account follow-up.
  • Process and maintain all correspondence received from patients and insurance companies as it pertains to correct and timely billing of claims, and receipt of payment.
  • Responsible for handling patient disputes and submission of issues to coding for review to ensure organizational and revenue cycle processes are followed.
  • Communicate appropriately with insurance companies, patients, co-workers and supervisors.
  • Perform credentialing and other duties as needed.
Requirements
  • Associates Degree or Medical Billing Certificate preferred.
  • Minimum of two years' experience in a billing or insurance account follow-up capacity is required.
  • Formal training or college coursework from a medical coding accredited school, specific to medical billing in lieu of experience may be considered.
  • Medical terminology experience required.
  • Knowledge of insurance processes and billing guidelines regulations required.
  • Coding knowledge preferred.
  • Athena Health experience required.
  • Brightree experience would be appreciated.
Working Conditions

This position requires fairly light physical exertion from up to 65% of the time. Ability to lift objects weighing 30 lbs. or less. Work is performed under normal working conditions with adequate lighting and ventilation. Job duties frequently require intense concentration and attention to detail (up to 65% of work time). Ability to work from home if COVID Pandemic recommendations recommend this.


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