Medical Biller

National Vision • Lawrenceville, GA

10h

About The Position

The role is responsible for submitting, editing, correcting, and researching claims to ensure clean adjudication payment from all payors.

Requirements

• 2-4 years Managed Care Medical Billing experience and/or training or equivalent combination of education and experience (Required)
• High school, plus specialized schooling and/or on-the-job education in a specific skill area, e.g., data processing, clerical/administrative, equipment operation, etc. (Required)
• Knowledge of CPT-4, ICD0, HCPCS, and Medicare/Medical Terminology is required.

Nice To Haves

• Vision billing experience would be a plus (Prefered)
• POS system experience preferred.

Responsibilities

• Prepares and generates clean claims for submission to all payor types, including third party payors, Medicare and Medicaid.
• Submissions of claims to be are done via 837 electronic, CMS-1500, fax, and online web portal.
• Processes an average of 20-25 claims per hour.
• Facilitates all rejections from electronic or paper claims.
• Obtains information from carriers, stores, internal entities or patients when services billed are denied for reasons such as incorrect insurance information, demographic information and/or authorization.
• Appeals denials when necessary.
• Develops and maintains working relationships with internal/external providers to ensure billings and collections procedures are current.
• Researches and resolves all zero payment explanations or benefits and exercises all options to obtain claims payments; initiates adjustments as necessary.

Benefits

• health and dental insurance
• 401k retirement savings with company match
• flex spending account
• paid personal time off
• paid company holidays
• parental leave
• employee eyewear discount

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED