An advising, consulting & executive coaching company supporting leaders and companies with their people needs.
Medical Biller
Location
United States
Posted
1 day ago
Salary
$17 - $18 / hour
Seniority
Junior
Job Description
Medical Biller
Exceptional HR Solutions, LLC
• Submitting medical claims to insurance companies and payers such as Medicare and Medicaid. • Works directly with the insurance companies, healthcare providers and patients to get a claim processed and paid. • Reviews and appeals unpaid and denied claims. • Processes patient and insurance refund requests in a timely manner and posts payments and/or denials from insurance remits. • Assists patients in getting the correct information to apply for charity/Medicaid or a payment plan. • Uses coded data to produce sub claims to insurance companies. • Maintains knowledge of current billing rules and trends for billing types assigned. • Assists patients in verifying benefit information and assists in patient scheduling and account creation. • Ensures weekly, monthly, and quarterly department goals are met. • Obtains referrals and pre-authorizations as required for procedures. • Checks eligibility and benefits verification for treatments, hospitalizations, and procedures. • Reviews patient bills for accuracy and completeness and obtaining any missing information. • Prepares, reviews, and transmits claims using billing software, including electronic and paper claim processing. • Follows up on unpaid claims within standard billing cycle timeframe. • Checks each insurance payment for accuracy and compliance with contract discount. • Calls insurance companies regarding any discrepancy in payments if necessary. • Identifies any billing secondary or tertiary insurances. • Sets up patient payment plans and work collection accounts. • Updates billing software with rate changes. • Must comply with all elements within HIPAA and the Privacy Act.
Job Requirements
- A minimum of one-year experience with medical billing
- High School Diploma or GED.
- Proficiency with Microsoft Office Suite and Internet.
- A knowledge of chemical dependency and its effects on individuals, families, and communities is preferred.
Benefits
- Medical, vision, and dental
- Short-term and long-term disability options
- Life insurance
- Employee Assistance and Life Assistance programs
- A 401K retirement program
- Pet Insurance
- Paid time off and paid holidays
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