Medical Biller Jobs

About The Position

Requirements

• One year biller/collection experience in medical office or hospital.
• Basic accounting skills.
• 10 key by touch

Nice To Haves

• Assists with orientation and training of new employees/ volunteers, as assigned.
• Understands basic computer programs.

Responsibilities

• Posts hospital and office charges and payments.
• Reviews explanation of benefits to resolve accounts.
• Reviews claim scrubber and resolves claim edits.
• Identifies and resolves payer issues and patient billing complaints
• Maintains payor-related items, such as EFTs and Payor IDs for 835s.
• Manages staff to oversee Explanation of Benefits are returned to staff within 1 week of request.
• Verifies insurance eligibility and authorization.
• Transmits electronic/ remittances and statements.
• Works monthly aging of PPO's, Medicare, HMO's, cash and Workers Compensation.
• Runs aging and month end reports.
• Documents detailed notes including action items taken, when appropriate.
• Responds timely and accurately to all incoming correspondence and inquiries from payers, patients and other departments.
• Performs collection actions including contacting patient, insurance companies, or third party payers.
• Reviews reports to identify denials from Medicare, PPOs, Worker Compensation, Commercial and Contracted carriers; corrects and resubmits claims using accurate ICD-9,ICD-10 and CPT codes; suggests action plans to eliminate denials in the future.
• Prepares and submits write off requests to Supervisor for denied claims that cannot be appealed.
• Elevates issues as appropriate to Supervisor.
• Participates in Performance Improvement.
• Assists with orientation and training of new employees/ volunteers, as assigned.
• Understands basic computer programs.