Medical Biller

This is a fully remote position, open to applicants in United States.

📋 Description

• Submitting medical claims to insurance providers, including Medicare and Medicaid.

• Collaborating directly with insurance companies, healthcare providers, and patients to ensure efficient claim processing and payment.

• Reviewing and appealing any unpaid or denied claims.

• Timely processing of patient and insurance refund requests while posting payments and/or denials from insurance remittances.

• Assisting patients in obtaining the necessary information to apply for charity/Medicaid or establish a payment plan.

• Utilizing coded data to generate sub claims for insurance companies.

• Staying informed about current billing regulations and trends relevant to assigned billing types.

• Aiding patients in confirming benefit information and supporting patient scheduling and account setup.

• Ensuring that weekly, monthly, and quarterly departmental objectives are achieved.

• Securing referrals and pre-authorizations as necessary for procedures.

• Conducting eligibility and benefits verification for treatments, hospitalizations, and procedures.

• Inspecting patient bills for accuracy and completeness, while gathering any missing information.

• Preparing, reviewing, and submitting claims through billing software, including both electronic and paper claim processing.

• Following up on unpaid claims within the standard billing cycle timeframe.

• Verifying the accuracy of each insurance payment and ensuring compliance with contracted discounts.

• Contacting insurance companies regarding any discrepancies in payments when required.

• Identifying any secondary or tertiary billing insurances.

• Establishing patient payment plans and managing collection accounts.

• Updating billing software with any rate changes.

• Adhering to all aspects of HIPAA and the Privacy Act.

⛳️ Requirements

• At least one year of experience in medical billing.

• High School Diploma or GED.

• Proficient in Microsoft Office Suite and Internet usage.

• Knowledge of chemical dependency and its impact on individuals, families, and communities is preferred.

🏝️ Benefits

• Medical, vision, and dental insurance.

• Options for short-term and long-term disability.

• Life insurance coverage.

• Employee Assistance and Life Assistance programs.

• A 401K retirement plan.

• Pet insurance options.

• Paid time off and paid holidays.