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Insurance Billing Coordinator

2 months ago

Bridgeton, Missouri, United States At Home Care Missouri Full time
Job Overview

Salary: $35,360-$39,520 annually /doe

Become a Valued Member of Our Team

  • WE ARE LOOKING FOR AN EXPERIENCED BILLER IN HOME HEALTHCARE. APPLICANTS MUST HAVE A MINIMUM OF 1 YEAR OF RELEVANT EXPERIENCE.

As part of the At Home Care family, we provide:

  • Comprehensive Medical, Vision, Dental, and Life insurance
  • Weekly Compensation with Direct Deposit
  • Competitive Wage Structure
  • Paid Time Off and Holiday Compensation
  • Travel Reimbursement

Position Summary: The Medical Biller, under general supervision, is responsible for all tasks related to the preparation and submission of medical insurance claims. This role involves reviewing and adjusting accounts to ensure accurate billing, which includes communication with third parties and participants, processing, researching, correcting accounts, posting payments and adjustments, and interpreting Explanation of Benefits (EOB) documentation. The ideal candidate will demonstrate sound judgment in various situations, possess strong written and verbal communication skills, and exhibit exceptional organizational abilities while managing multiple priorities.

Key Responsibilities:

  • Prepare and submit accurate claims to various insurance providers electronically via EMOMED or the payer portal.
  • Process medical claims through a billing clearinghouse or by paper.
  • Collect insurance billing information by reviewing patient hospital records for completeness.
  • Bill carriers by entering billing information into the database and initiating electronic transmissions.
  • Process claims as payments are received and adjust accounts accordingly.
  • Resolve disputed claims by gathering, verifying, and providing additional information; follow up on claims as necessary.
  • Address discrepancies by examining and evaluating data; implement corrective measures.
  • Adjust patient bills by reviewing remittance advice and consulting with payers.
  • Monitor payer claim acceptance and response times.
  • Contact payers as needed to obtain updates on claim payments.
  • Correct and resubmit denied claims.
  • Escalate claims for potential bulk resolution with payor relations.
  • Ensure proper charge capture, billing, and adjudication of claims in accordance with federal, state, and private billing guidelines.

Qualifications:

  • Minimum of 1 year of experience in Healthcare Missouri Medicaid medical claims processing or billing.
  • Ability to effectively manage workload in a high-volume setting with strong attention to detail.
  • Proficient in PC applications, particularly Microsoft Office Suite (Excel, Word).
  • Strong aptitude for computing percentages and basic mathematical functions.
  • Excellent oral, written, and interpersonal communication skills.