We are seeking a detail-oriented and organized Biller to join our team. The ideal candidate will be responsible for managing billing processes, ensuring accuracy in medical coding, and maintaining compliance with healthcare regulations. This role is crucial in facilitating smooth financial operations within our medical office, contributing to the overall efficiency of patient care services.
Duties and Responsibilities:
- Abide by HIPPA and FDCPA guidelines
- Managing route to ensure all accounts are worked within assigned wait time
- Call insurance companies for claims status
- Check insurance eligibility
- Check contract rates
- Follow up on all billed claims to insurance carriers to ensure claims are processed and expedited
- Follow up on incoming EOB's
- Responsible for accurate billing of all assigned accounts
- Submission of claims to carriers after all information is available
- Submits "clean claims" to Third Party Billing via e-permis
- Keep updated with all current Third Party billing regulations
- Filing claims/billing: Ability to accurately and completely perform Third Party billing via e-permis. All claims are billed on a 837 P (CMS 1500) claim form
- Drafting and submitting appeals to the insurance carriers
- Manual Cash Posting
- Registration of ambulance accounts
- Verifying MCD authorizations via website
- Working denials
- Handly day one self pay calls
- Posting denials
- Perform other duties as required and assigned
Education and Work Experience:
- High School diploma necessary, college preferred
- 1-3 years prior healthcare experience
- 1-3 years of Hospital Billing/Follow-up
- Any appropriate combination of education and experience
Skills and knowledge:
- Good computer skills
- Ability to work independently on assigned task as well as accept directions on given assignments
- Excellent written and verbal communication skills
- Knowledge of HIPPA and FDCPA
- Working knowledge of Third Party rules, regulations and billing requirements