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Mahwah

    Medical Billing Representative - Mahwah, United States - Medloop

    Medloop
    Medloop Mahwah, United States

    1 week ago

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    Description
    Medloop -

    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 - Not Remote)

    Pay: $22-$25 per hour



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