Medical Biller

AkuminTampa, FL
Remote

About The Position

The Medical Biller is responsible for submitting medical claims to government and private payers. This role ensures that service date, CPT code, necessary modifiers, patient type (inpatient vs. outpatient, retail vs. wholesale, etc,), contrast injection type and dosage, providing physician, and equipment utilized has been entered correctly into the billing system. The biller distributes claims into electronic and paper billing queues and transmits patient statements for mailing. This position is primarily responsible for well-established sites that function as part of a normal workflow.

Requirements

  • High School Diploma or Equivalent Experience
  • 1-2 years prior medical billing experience required.
  • Proven experience in using multiple computer screens and applications simultaneously to navigate, type, and access information.
  • Strong multi-tasking abilities
  • Strong verbal and written communication skills
  • Team player with ability to communicate at all levels in the organization and with different types of customers

Responsibilities

  • Submits medical claims to payers via electronic data interchange (EDI,) paper claims via mail, and enters claims through payer portals.
  • Prepares and transmits patient statements for mailing.
  • Ensures that all necessary information (Insurance plan, CPT code, procedure modifiers, ICD10 codes, etc.) has been entered into the billing system correctly and all necessary compliance paperwork is received for claims submission.
  • Researches and corrects rejected claims for resubmission
  • Reconciles claims submitted with claims accepted by the clearinghouse
  • Other duties as required including, but not limited to, obtaining paperwork necessary for audits, printing explanation of benefits (EOB) for secondary claims submission, etc.

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Education Level

High school or GED

Number of Employees

501-1,000 employees

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