About The Position

We are ramping up our Billing department and have multiple openings available now for the Medical Biller position. Training provided! At Experity, we offer much more than just a job. This position will be onsite Monday – Friday at our Machesney Park office. Hiring for a training group starting September 14th!

Requirements

  • High school diploma or equivalent
  • Understand CPT, ICD-10, and HCPCS coding.

Nice To Haves

  • One year experience in customer service
  • Experience in a physician office
  • Knowledge of medical terminology

Responsibilities

  • Applies payments and adjustments to patient accounts as appropriate.
  • Counsel patients regarding financial obligations related to account balances.
  • Follow up with insurance payers for processing of appeals and errors including paper appeals or online portal entry as needed.
  • Receive and resolve inquiries, concerns, or complaints related to patient accounts from patients, insurance carriers, employers, etc.
  • Responsible for resolution and appropriate refunding of credit balances. Includes working credit balance reports as needed.
  • Responsible for the review and resolution of denied claims on EDI reports.
  • Responsible for timely review and release of charges on hold.
  • Review and coding of patient medical record in compliance with standard coding guidelines.
  • Review explanations of benefits for correct adjudication and payment according to applicable managed care contract terms and reimbursement.
  • Review of unpaid claims, researching denials, and/or lack of activity to ensure timely payment and maintain cash flow.
  • Review and update patient and insurance demographics as appropriate.
  • Understand CPT, ICD-10, and HCPCS coding.
  • Provide feedback to providers regarding documentation in medical records.
  • Review and resolve EDI rejections and payer denials.
  • Print and mail corporate statements and secondary claims.
  • Review coding denials.
  • Other duties as assigned.

Benefits

  • Medical, Dental/Orthodontia, and Vision plans
  • Paid Time Off (PTO)
  • Employee Assistance Program (counseling, legal assistance, financial education, pet adoption support, identity theft resolution, and much more)
  • Flexible work scheduling
  • Learning program foundation
  • Team building events (family picnics, holiday parties)
  • Competitive pay
  • Quarterly bonuses
  • 401(k) retirement plan with an employer match after 90 days of employment
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