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    Medical Billing Representative - Bergen County, United States - Easy Apply

    Easy Apply
    Easy Apply Bergen County, United States

    1 day ago

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    Description

    Job Description

    Job Description

    Medloop a large multi-specialty medical billing company servicing many clients across the US mostly in NY/NJ is looking for a talented and highly motivated Medical Billing Representative to resolve billing issues and work directly with clients to identify and manage efficient billing processes for optimal A/R outcomes. They also manage a broad array of projects in relation to claims resolution, payer tracking, website access, claims status inquiries, and direct carrier contact.

    RESPONSIBILITIES:

    • Serve as a liaison between patient, insurer, and practice
    • Follow-up on patient accounts to assure claims for patient charges submitted to insurance companies are paid in a timely fashion
    • Initiates prior authorization for all procedures requested by staff, providers, and or insurers.
    • Prioritize and organizes all prior authorization activities
    • Documents all prior authorization activities and record activity
    • Excellent communication and organizational skills with a customer service focus
    • Ability to read and understand EOB's and ERA files
    • Processing appeals
    • Analyze and research denials
    • Knowledge of CPT and ICD10 coding requirements
    • Previous experience in a medical industry Is required
    • Understanding of refunds/take-backs
    • Knowledge of medical terminology
    • Must have the ability to maintain confidential information
    • Must have the ability to multitask and take initiative
    • Must be able to identify and communicate billing inconsistencies

    REQUIRED MINIMUM QUALIFICATIONS:

    • High school diploma, or equivalent
    • 2 years of medical billing experience, or medical billing training, or other experience in a healthcare setting

    PREFERRED ADDITIONAL QUALIFICATIONS (not required):

    • Working knowledge of Medicare, Medicaid, and Commercial payor claims and appeals processing requirements
    • Familiar with writing appeals with successful outcomes
    • General knowledge of ICD-10, CPT-4, and HCPC coding and CCI edits
    • Ability to prioritize effectively and handle shifting priorities
    • Self-starter with the ability to organize work for maximum efficiency and attention to quality

    At Medloop we offer great opportunities with the potential for growth.

    Benefits:

    • Health Insurance
    • 401K
    • Great PTO Package

    Job Type: Full-time (In the office)

    Pay: $22-$26 per hour

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