Medical Biller
About The Position
At CareSense we are only as good as our caregivers. Our extraordinary caregivers provide quality Home Health assistance, bringing much relief and quality of life for our patients and their families. A MEDICAL BILLER is needed to assist in our Lansdale PA branch. CareSense Home Health and Hospice provides superb services, including nursing, therapy, social services, and health aides. We are committed to quality care, sensitivity, and patient satisfaction. Our goal is to improve our patients' health and quality of life with professionalism and respect. To learn more about our company please visit our website at http://www.caresensehc.com
Requirements
- Three to five years related experience and training; in-depth knowledge of medical billing processes, procedures and best practices.
- Familiarity with insurance reimbursement protocols.
- Expert level proficiency in Microsoft Office (Word and Excel);
- Expert computer skills with the ability to utilize various advanced computer systems to support the various responsibilities
- Excellent phone, interpersonal, verbal and written communication skills
- Fast paced, very organized and detailed, with the ability to handle extensive amounts of paperwork/documentation
- Self-directing and very independent with the ability to work with little direct supervision
- Very comfortable with technology applications including personnel recruiting systems, staffing and scheduling systems, electronic medical records systems,
- Reliable car, valid State driver's license and car insurance
- Background check will be required
- Must have authorization to work in the USA
Responsibilities
- Prepares claim reports and ensures all claim data is accurate and correct
- Submits claims to the appropriate payers and monitors status from submission until payment
- Resolves and coordinates resolution of denied claims, by communicating with all parties involved
- Resubmits corrected denied claims
- Identifies and reconciles discrepancies in reimbursements
- Reports issues regarding claims to appropriate individuals
- Reviews client/staff files to ensure all information required for authorizations is present
- Enters services authorizations into proprietary software ensuring correct coding and amounts
- Updates authorizations as needed
- Reviews care logs to ensure correct coding, unit and dollar calculations.
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What This Job Offers
Career Level
Mid Level
Education Level
No Education Listed
