Qualified Medical Biller with experience in a medical office
2+ years of experience with full cycle billing
Collections, and Accounts Receivable are a must have
Electronic Medical Records (EMR) experience is required,
Requires knowledge of ICD-10 medical coding
Comprehensive knowledge of all procedures, systems, and equipment used as well as a high level of proficiency in data entry, data control, and scheduling and processing of batch work at a level generally acquired during two to three years medical billing experience
Maintain cooperative working relationships with department personnel, including staff and physicians, and outside personnel including patients and third party payers
Requires knowledge and ICD-10 medical coding and familiarity with referral authorizations and third party billing procedures
Daily entry of charges and posting of receipts.
Preparing reports for daily balance of charges and receipts.
Assurance that timely patient billing and up-to-date third party claims are completed, including charge posting and electronic claims filing.
Daily submission of electronic claims with review denials.
Preparing monthly customer collection list of patient billings, fees, and credit. -Receives and reviews billing documents and ensures accuracy. -Communicating with insurance companies and customers to resolve issues related to insurance claims, submission of payments, as well as requesting information needed to complete account transactions, addressing urgent requests and/or resolving outstanding account issues.
Insurance benefits verification and authorization
Data entry and electronic claim filings
Experience with out of network claims and appeals
Following up on claims, denials and rejections, and resolving issues
Writing claim appeals
Hands-on experience in CPT/ICD codes, insurance reimbursement process, electronic claim submission, follow-up and collection, EOB
Strong knowledge of medical practice processes and operation (knowledge of reconstructive procedures is a plus)
Team player and comfortable in multi-tasking and working under pressure
Accurate maintenance and storage of electronic records
Copying, faxing, scanning and organizing of specified documents