***URGENT OPPORTUNITY***

MUST BE ABLE TO START ASAP

Location: Remote

Employment Type: Part-Time, with the opportunity to be converted to Full-Time

Position Summary:

Medical Billing Company seeking certified Medical Biller with 2+ years of experience in a healthcare setting. Workers' Compensation experience preferred.

Primary Responsibilities:

• Submits coded claims to insurance carriers and interprets EOBs.
• Completes all necessary insurance forms (i.e. HCFA 1500, Blue Cross/Blue Shield, Medicare, etc.). to process the proper billing information in a timely manner.
• Resolves rejected and denied claims; corrects and resubmits claims as necessary.
• Files all claims, documentation, etc. in electronic patient files.
• Provides all necessary documentation (on or with HCFA1500) requested. This includes demographic, authorization/referrals, and referring doctors. -Obtains appropriate medical records, with patient and/or responsible party authorization on file, as they relate to the billing process.
• Posts charges to patient charts to ensure accurate record keeping.
• Responds to and resolves patient billing issues and communicates resolution to patients.
• Make phone calls to insurance companies to follow-up on unanswered appeals.
• Review each account on the status aging report. If no response, present account for collections/lien to the Billing Manager for collection decision.
• Responds to requests for additional information needed by the carrier to make determination of payment.
• Communicates with adjusters to obtain approvals; submits Requests for Authorizations.
• Other duties as assigned.

Required Experience:

• High school graduate or equivalent
• Minimum 2+ years experience in claim processing required
• Medical Billing and Coding Certification required
• Proof of Active Medical Billing Certification
• Knowledge of CPT/ICD-10/HCPCS Codes
• Ability to interpret Explanation of Benefits (EOB)
• Workers' Compensation Billing
• In-depth knowledge of Government, Commercial and Workers' Compensation insurances and demonstrated proficiency in the interpretation of carrier contracts.
• Ability to resolve problems with, rejected, disputed and denied claims.
• Ability to effectively communicate with health care professionals and third-party providers on payment and claim issues.
• Fluent in English

Preferred Experience:

• Workers' Compensation Case Management
• Credentialing experience
• Athena Software
• Claim.MD
• Klara Software
• Availity
• ClaimTek Software

Pay Range: Starting at $24-$30 per hour