Medical Biller and WC/NF Biller

Job Description

As a Medical Billing/AR Professional you will be primarily responsible resolving denied/underpaid claims and following up with insurances for collecting reimbursements. These position openings require experience working with the various major medical insurances for both in-network and out of network claims;Workers Compensation/No-Fault claims for surgeries and in office procedures. Other responsibilities may include resubmission of claims and other duties as they pertain to medical billing and collections. Experience a +

Qualifications

High school diploma or equivalent; Associate's degree or certification in medical billing and coding preferred

At least 2 years of experience in medical claims processing or medical billing and coding

Thorough understanding of medical terminology, ICD-10 and CPT coding

Strong analytical and problem-solving skills

Excellent communication and customer service skills

Ability to work independently and manage multiple tasks and deadlines

Experience with orthopedic healthcare claims processing is a plus

Required Skills

Knowledge of Medical Terminology, ICD10, CPT codes and the correct use of modifiers

Experience with Medicare, Commercial, Worker's Comp and No Fault claims follow up

Able to handle patient inquiries regarding billing issues, out of network issues, explaining insurance guidelines to patients

Adheres to HIPAA regulations and guidelines

Adheres to Billing and Collections guidelines

Excellent organizational skills with strict attention to detail

Applicant must have strong denial and insurance follow-up management skills

Able to accurately read and interpret EOB's

Working rejections from the clearinghouse to correct errors for resubmissions

Read and analyze patient records to determine correct codes for billing to insurance provider

Interpret EOB's for accurate payment was received

Ensure A/R payments are current and all delinquent accounts are being followed up in a timely fashion

Timely follow up with payers to ensure timely resolution of outstanding claims