Medical Biller

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Elevate and Delegate

WebsiteLinkedInAll Job Openings

1 - 10 employees

👥 HR Tech

🎯 Recruiter

🤝 B2B

HR Tech • Recruitment • B2B

Elevate and Delegate is a company that specializes in helping businesses reduce staffing costs and improve efficiency by sourcing and managing high-performance remote teams. They find talented overseas employees to fill roles such as virtual assistants, bookkeepers, customer service representatives, video editors, and more. Their services include smooth and efficient hiring and onboarding processes, strategy sessions to understand client pain points, and a 90-day satisfaction guarantee for their placements. Elevate and Delegate aims to help businesses grow without increasing their workload, by providing a dedicated talent overseas that works on the client's schedule.

📋 Description

• Prepare, review, and submit a high volume of insurance claims daily. • Manage the full billing workflow from claim creation through payment posting and account follow-up. • Submit claims accurately to clearinghouses and ensure timely processing. • Monitor claim status and proactively resolve billing issues. • Investigate, appeal, and resolve claim rejections and denials from start to finish. • Identify billing errors, make necessary corrections, and promptly resubmit claims. • Maintain a strong understanding of Coordination of Benefits (COB) to ensure accurate claim processing. • Apply CPT and HCPCS modifiers correctly based on payer requirements and clinical documentation. • Ensure compliance with insurance payer guidelines across multiple commercial and government payers. • Communicate professionally with healthcare providers regarding documentation and billing questions. • Assist patients or parents/guardians with billing inquiries and account balances. • Collect payments over the phone and establish payment arrangements while providing excellent customer service.

🎯 Requirements

• Extensive hands-on experience in medical billing with a proven track record of managing high claim volumes. • Strong experience submitting claims to insurance clearinghouses. • Demonstrated success resolving claim rejections and denials through to payment. • Thorough understanding of Coordination of Benefits (COB). • Strong knowledge of CPT/HCPCS coding modifiers and their appropriate application. • Solid understanding of insurance payer guidelines and billing requirements across multiple payers. • Ability to identify billing issues, correct claims, and resubmit them with minimal supervision. • Experience managing the complete medical billing lifecycle from claim submission through payment posting and collections. • Strong analytical, organizational, and problem-solving skills. • Ability to work independently while managing multiple priorities in a fast-paced environment. • Experience using AdvancedMD (strongly preferred). • Experience communicating directly with providers regarding documentation and billing issues. • Experience assisting patients or parents/guardians with billing questions. • Comfortable collecting payments by phone and establishing payment plans. • Experience working with multiple insurance carriers and specialty practices.