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    Medical Biller - Flint, United States - New Paths Inc

    New Paths Inc
    New Paths Inc Flint, United States

    3 weeks ago

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    Description

    Job Description

    Job Description

    We are seeking a full-time biller, this is an onsite position with no remote work.

    Job Summary:

    The Billing Clerk will process and follow up on Medicaid, Medicare or private insurance billing, review remittance advice forms to verify proper reimbursement, and adjust as necessary.

    Supervisory Responsibilities:
    • None.
    Duties/Responsibilities:
    • Checks to ensure that clinical records for patients include all information required for Medicaid, Medicare or private insurance reimbursement. Obtain any missing information.
    • Verifies correct Medicaid, Medicare or private insurance coding to ensure prompt payment.
    • Inputs correct billing information and transmits electronically to the Medicaid, Medicare or private insurance carrier.
    • Consults with claim clerks in the Medicaid, Medicare or private insurance office about any disputed claims and follows up on all bills not processed within usual claim period.
    • Reviews remittance advice forms to determine any adjustments made to bills as submitted and consults with the Medicaid, Medicare or private insurance office.
    • Post payments in client ledger.
    • Adjust non-contracted rates.
    • Review aging reports: inquire about non-payment of services.
    • Achieve maximum reimbursement for services provided.
    • Authorizes or adjusts bills to correct errors.
    • Prepares weekly and monthly reports of Medicaid, Medicare or private insurance billing.
    • Conducts audits.
    • Attends training to keep abreast of changes in Medicaid, Medicare or private insurance billing procedures
    • Other duties as assigned.
    Required Skills/Abilities:
    • Excellent verbal communication skills and hearing ability to discuss billing with medical staff, patients, and insurance company staff.
    • Close attention to detail.
    • Excellent interpersonal and customer service skills. Ability to interact professionally and respectfully with clients.
    • Ability to work independently.
    Education and Experience:
    • High School or equivalent required, Associates' Degree in Billing/Coding preferred.
    • 2 years' experience billing required.
    • Mental health and substance use disorder billing preferred.
    • Experience in EMR software, billing systems required.

    Physical Requirements:

    • Prolonged periods of sitting at a desk and working on a computer.
    • Must be able to lift up to 15 pounds at times.
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