Medical Billing Representative

2 weeks ago

Willow Grove, United States TEKsystems Full time
Job DescriptionJob Description

Seeking a Medical Biller working with a thriving health care company.

Duties:

***Accounts Receivable Management: Manage and prioritize accounts receivable

for insurance companies, government and independent/patient payers. Review

aging reports, identify delinquent accounts, and take appropriate actions to

collect outstanding balances.

***Billing and Coding Review: Review medical billing and coding documentation to

ensure accuracy and compliance with industry standards and regulations.

Identify discrepancies or coding errors that may have resulted in claim denials or

payment delays.

***Contract Compliance: Monitor payer adherence to contractual obligations and

escalate issues as needed. Provide insights and recommendations to optimize

contract performance and reimbursement rates.

***Claims Processing: Resubmit claims to insurance companies, government and

independent payers accurately and in a timely manner. Follow up on pending

claims, rejections, and denials to resolve issues and facilitate prompt payment.

***Payer Communication: Maintain positive relationships with patients, insurance

companies, and other stakeholders. Communicate with payer/patient regarding

their account balances, insurance coverage, and payment options. Aid and

guidance to patients in understanding their medical bills and resolving billing

inquiries or disputes.

***Insurance Verification: Confirm eligibility, coverage limitations, and any pre authorization requirements to prevent claim denials and billing discrepancies

arising from changes to patient carrier/plans.

***Compliance and Documentation: Ensure compliance with HIPAA regulations and

other healthcare privacy laws in handling patient information and billing records.

***Document all payment verification activities, including correspondence with

payers and internal stakeholders. Protects company value by keeping collection

information confidential

Qualifications:

3 years of prior patient collections experience

High school diploma or equivalent (associate’s degree preferred).

Strong communication & organizational skills

Ability to handle constructive criticism

Show a desire to learn and work on a team

Prior experience in medical collections or related field.

Excellent communication skills, both written and verbal.

Strong empathy and patience when dealing with patients.

Ability to work collaboratively in a team environment.

Problem-solving mindset and adaptability.

APPLY NOW for immediate consideration.

APPLY NOW for immediate consideration.

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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