Medical Biller

Nautical Staffing • Las Vegas, NV

9h

About The Position

I am looking for an experienced, detail-oriented, and organized Medical Biller to join our growing team! Responsibilities: Transmit and process all billable claims Review, appeal, and attach required documentation to ensure appropriate reimbursement Review patient statements for accuracy and completeness, and obtain any missing information Handle confidential patient information with professionalism and discretion Export and process claims via clearinghouse Review claims rejections in the Electronic Practice Management System and clearinghouse Import Electronic Remittance Advice (ERA) into the Practice Management System Review, correct, document denial reason codes, and regenerate denied claims Navigate EMR systems such as WellSky and Waystar to support patients and providers Review and resolve Practice Management System discrepancy reports Process denials within required timeframes using assigned reports Qualifications: Monitor and follow up on outstanding claims over 21 days from date of service Coordinate with insurance provider representatives regarding claim issues Respond to patient and insurance billing inquiries by phone Generate insurance and billing reports as assigned Experience with any EMR system (required) Respond to emails in a timely manner Provide regular updates to the Patient Accounts Manager Available to work full-time (40 hours/week) during US Pacific business hours

Requirements

• Experience with any EMR system (required)
• Available to work full-time (40 hours/week) during US Pacific business hours

Responsibilities

• Transmit and process all billable claims
• Review, appeal, and attach required documentation to ensure appropriate reimbursement
• Review patient statements for accuracy and completeness, and obtain any missing information
• Handle confidential patient information with professionalism and discretion
• Export and process claims via clearinghouse
• Review claims rejections in the Electronic Practice Management System and clearinghouse
• Import Electronic Remittance Advice (ERA) into the Practice Management System
• Review, correct, document denial reason codes, and regenerate denied claims
• Navigate EMR systems such as WellSky and Waystar to support patients and providers
• Review and resolve Practice Management System discrepancy reports
• Process denials within required timeframes using assigned reports
• Monitor and follow up on outstanding claims over 21 days from date of service
• Coordinate with insurance provider representatives regarding claim issues
• Respond to patient and insurance billing inquiries by phone
• Generate insurance and billing reports as assigned
• Respond to emails in a timely manner
• Provide regular updates to the Patient Accounts Manager

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed