Medical Biller

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CrewBloom

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2016

🤝 B2B

☁️ SaaS

🎯 Recruiter

B2B • SaaS • Recruitment

CrewBloom is a remote staffing agency dedicated to connecting businesses with top-tier remote talent across various industries. They streamline the hiring process by sourcing, screening, and onboarding qualified candidates tailored to the specific needs of their clients, ensuring a seamless integration into teams. With a focus on global talent acquisition, CrewBloom empowers companies to scale their operations efficiently while reducing costs and maintaining compliance with HR regulations.

📋 Description

• Claims Processing: Prepare and submit accurate medical claims to insurance companies, Medicare, and Medicaid for reimbursement. • Billing: Generate and send invoices to patients for services rendered, following up on outstanding balances and resolving billing discrepancies. • Insurance Verification: Verify patients' insurance coverage and eligibility, ensuring all necessary authorizations and referrals are obtained before services being rendered. • Coding: Assign appropriate medical codes (ICD-10, CPT, HCPCS) to diagnoses and procedures for billing purposes, ensuring compliance with coding guidelines and regulations. • Payment Posting: Record and reconcile payments received from insurance companies and patients, applying them to the appropriate accounts in the billing system. • Denial Management: Investigate and appeal claim denials and rejections, identifying and addressing root causes to prevent future issues. • Patient Communication: Communicate with patients regarding billing inquiries, payment plans, and financial assistance options, providing excellent customer service while resolving concerns. • Documentation: Maintain accurate and up-to-date records of billing activities, including claims submissions, payments, and correspondence with insurance companies and patients. • Compliance: Adhere to all relevant healthcare regulations, including HIPAA and billing compliance guidelines, to ensure the integrity and confidentiality of patient information.

🎯 Requirements

• Education: High school diploma or equivalent required; additional medical billing and coding certification is preferred. • Experience: Minimum of one year of experience in medical billing, preferably in a healthcare setting. • Knowledge: Proficient in medical terminology, billing software (e.g., Epic, Cerner), and insurance claim processing procedures. • Skills: Strong attention to detail, excellent organizational and time management skills, and the ability to multitask in a fast-paced environment. • Communication: Effective verbal and written communication skills, with the ability to interact professionally with patients, providers, and insurance representatives. • Problem-Solving: Demonstrated ability to analyze billing issues, identify solutions, and implement process improvements to optimize revenue cycle management. • Teamwork: Ability to collaborate with colleagues across departments to resolve billing-related issues and achieve organizational goals. • Internet Connection: • - Primary internet connection with a minimum speed of 15 Mbps. • - Backup internet connection with at least 10 Mbps. • - Backup connection must be capable of supporting work during a power outage. • Primary Device: • - Desktop or laptop equipped with at least: • - Intel Core i5 (8th generation or newer), Intel Core i3 (10th generation or newer), AMD Ryzen 5, or an equivalent processor. • - A minimum of 8 GB RAM. • Backup Device: • - Must meet or exceed the performance of an Intel Core i3 processor. • - Must be functional during power interruptions. • Peripherals and Workspace: • - A functioning webcam. • - A noise-canceling USB headset. • - A quiet, dedicated home office space. • - A smartphone for communication and verification purposes.

🏖️ Benefits

• Join Our Dynamic Team: Experience our fun, inclusive, innovative culture that values your unique contributions and supports your professional growth. • Embrace the Opportunities: Seize daily chances to learn, innovate, and excel. Make a real impact in your field. • Limitless Career Growth: Unlock a world of possibilities and resources to propel your career forward. • Fast-Paced Thrills: Thrive in a high-energy, engaging atmosphere. Embrace challenges and reap stimulating rewards. • Flexibility, Your Way: Embrace the freedom to work from home or any location of your choice. Create your ideal work environment. • Work-Life Balance at Its Best: Say goodbye to stressful commutes and hello to quality time with loved ones. Achieve a healthy work-life integration to perform at your best.