Medical Biller - Pompton Lakes, United States - Medical Claims Billing

Description

Medical Biller Job Description

Job Purpose:
Provide excellent service to our clients by being proactive and efficient in solving claim and process issues.

Generate revenue by submitting and collecting medical claim reimbursements from payers and patients; promptly following up on rejections or denials; monitoring and pursuing delinquent accounts; posting and managing account payments.

Reports to:
Billing Director


Responsibilities:

• Prepares and submits clean claims using appropriate CPT codes, Dx codes, and modifiers to various third party payers either electronically or by paper.
• Answers questions from patients, office staff, providers and insurance companies.
• Identifies and resolves insurance and patient billing issues.
• Completes precertifications, verifications and authorizations as necessary
• Prepares, reviews and sends patient statements
• Tracks and reports status of delinquent accounts.
• Reviews accounts for possible assignment and makes recommendations to the Billing Director.
• Performs all actions necessary to collect valid payments including contacting payers by phone, correcting and resubmitting claims to third party payers.
• Processes payments from all payers and prepares daily activity reports.
• Participates in educational activities to improve your performance and to achieve/maintain your professional certification.
• Maintains strictest confidentiality on all company matters and adheres to all HIPAA and applicable privacy regulations
• Adhere to professional standards, MCB policies and procedures, federal, state, and local requirements, and industry standards.

Qualifications:

• A selfstarter with a desire to join a winning team that expects your best every day
• A can do, problem solving attitude with excellent customer service skills and the highest ethical standards
• Medical Billing or Coding certification preferred
• Previous medical billing experience preferred
• Excellent organizational skills
• Working knowledge of electronic health records and practice management medical billing systems; knowledge of Tebra, ECW, drchrono or Clinix preferred
• Working knowledge of payer policies including commercial policies from BCBS, Aetna, Cigna, UHC, and government payers such as Medicare and Medicaid, and Auto and PIP carriers
• Excellent computer and keyboard skills with a working knowledge of Google and Microsoft Office products
• Ability to speak, read and write English fluently

Pay:
$ $23.00 per hour

Expected hours: 40 per week


Benefits:

• 401(k)
• 401(k)

matching

• Flexible schedule
• Paid time off

Schedule:

• Day shift
• Monday to Friday

Work setting:

• Remote

Education:

• High school or equivalent (preferred)

Experience:

• Customer service: 1 year (preferred)

Medical Billing: 1 year (preferred)


Ability to Relocate:

• Pompton Lakes, NJ 07442: Relocate before starting work (required)

Work Location:
Hybrid remote in Pompton Lakes, NJ 07442