Practice Biller

CareAbout•Wall Township, NJ

106d•Onsite

About The Position

Under the general supervision of the Practice Manager/Supervisor, the Medical Biller is primarily responsible for checking eligibility and benefits, obtaining pre-authorizations, preparing and transmitting claims, posting payments, and following up on any unpaid claims or denials.

Requirements

HS Diploma or GED required
Minimum of 3-5 years of experience working as a medical biller, preferably in a patient practice setting
Experience with variety of insurances
EMR experience required, Athena preferred
Knowledge of CPT & ICD-10 coding
Must have working knowledge of medical terminology
Ability to use independent judgment and to manage and impart confidential information.
Ability to analyze and solve problems; requires details, data and facts that must be analyzed and challenged prior to making decisions
Strong communication and interpersonal skills.
Ability to clearly communicate medical information to professional practitioners and/or the general public.
Ability to maintain confidential information
Excellent organization, prioritization, follow up, analytical and time management skills with ability to handle multiple priorities and deadlines.
Ability to face multiple deadlines that must be met on time.
Ability to deal with multiple interruptions on a continual basis that must be met with a friendly exchange with others.
Helpful and constructive view of working with others to achieve positive outcomes.

Responsibilities

Checking eligibility and benefits verification for treatments and procedures
Obtaining pre-authorizations and referrals as required
Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing
Ensuring the timely billing of claims as to remain compliant with CMG policies and payor guidelines
Reviewing patient bills for accuracy, completeness and obtain any missing information
Identifying and billing secondary or tertiary insurances
Address and correct claim issues that are assigned for practice resolution
Update patient accounts to reflect accurate demographic and insurance information
Answering all patient or insurance telephone inquiries pertaining to assigned accounts
Setting up patient payment plans
Work with MSO to accurately report accounts to the collections agency
Performs miscellaneous job-related duties as assigned