Medical Biller
About The Position
Community Medical Services (CMS) is hiring a Medical Biller that will be responsible for performing all aspects of billing functions including identifying and resolving complex claims issues adversely impacting the revenue cycle management process and achieve resolution through coordination, reconciliation and denied claim management. This role will ensure proper follow-up is performed on the back-end aspects of the revenue cycle process related to reimbursement including projects, problem and issues escalation, A/R management and research. As part of our mission to help individuals recover from substance use disorders, you’ll thrive in a supportive, engaging, and fulfilling work environment where your contributions are valued.
Requirements
- Ability to process multiple payers AR in multiple states
- Ability to analyze high volume claims for resubmission or final adjudication
- High School diploma or equivalent is required, some college coursework in billing/collections, business administration, or accounting preferred
- 2 years minimum of experience as a medical biller or in collections
- Experience working with ICD-10, HCPCS and CPT Codes
- Working knowledge of medical insurance & medical terminology
- Working knowledge of private practice billing
- Good understanding of Medicaid, Medicare, Commercial and Veterans Administration Plans
- Strong organization skills
- Strong skills on the compute
- Ability to analyze financials and make presentations to providers
- Good team building skills
- Strong billing experience in EMR
- Proficiency in all Microsoft Application
Responsibilities
- Timely submission of clean electronic claims
- Follow up on unpaid claims
- Data entry and patient demographics verification.
- Posting of insurance and patient payments.
- Managing denials and claims resubmission
- Aging and follow up.
- Communication with insurance companies.
- Appeals
- Secondary claims
- Patient statements and Superbill Request
Benefits
- Subsidized medical, dental, and vision insurance
- Health savings account
- Short and long-term disability insurance
- Life insurance
- Paid sick, vacation, and holiday time
- 401K retirement plan with match
- Tuition and CME reimbursement up to 100%
- Employee assistance program to support your mental health and wellness
- Ongoing professional development
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
