Medical Biller

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Exceptional HR Solutions, LLC

WebsiteLinkedInAll Job Openings

11 - 50 employees

We are your exceptional HR department offering fractional HR, consulting, and advising services to support the people side of your business. Services:- Fractional HR Consulting & Advising - Managed Payroll Services - HR System Implementations- Talent OptimizationCheck out our website for additional service offerings:www.exceptionalhrsolutions.com

📋 Description

• Submitting medical claims to insurance companies and payers such as Medicare and Medicaid. • Works directly with the insurance companies, healthcare providers and patients to get a claim processed and paid. • Reviews and appeals unpaid and denied claims. • Processes patient and insurance refund requests in a timely manner and posts payments and/or denials from insurance remits. • Assists patients in getting the correct information to apply for charity/Medicaid or a payment plan. • Uses coded data to produce sub claims to insurance companies. • Maintains knowledge of current billing rules and trends for billing types assigned. • Assists patients in verifying benefit information and assists in patient scheduling and account creation. • Ensures weekly, monthly, and quarterly department goals are met. • Obtains referrals and pre-authorizations as required for procedures. • Checks eligibility and benefits verification for treatments, hospitalizations, and procedures. • Reviews patient bills for accuracy and completeness and obtaining any missing information. • Prepares, reviews, and transmits claims using billing software, including electronic and paper claim processing. • Follows up on unpaid claims within standard billing cycle timeframe. • Checks each insurance payment for accuracy and compliance with contract discount. • Calls insurance companies regarding any discrepancy in payments if necessary. • Identifies any billing secondary or tertiary insurances. • Sets up patient payment plans and work collection accounts. • Updates billing software with rate changes. • Must comply with all elements within HIPAA and the Privacy Act.

🎯 Requirements

• A minimum of one-year experience with medical billing • High School Diploma or GED. • Proficiency with Microsoft Office Suite and Internet. • A knowledge of chemical dependency and its effects on individuals, families, and communities is preferred.

🏖️ Benefits

• Medical, vision, and dental • Short-term and long-term disability options • Life insurance • Employee Assistance and Life Assistance programs • A 401K retirement program • Pet Insurance • Paid time off and paid holidays