Medical Biller - Insurance A/R Specialist

Responsibilities

• Work rejects/denials, send corrected claims, appeals
• Electronic claims building and submission
• Stay up to date on CPT, ICD, and LCD guidelines
• Chart and coding review
• Check eligibility and benefits
• Avoid prior authorizations
• Call patients when necessary to verify insurance information
• Provide excellent customer service to patients paying their bill or inquiring about their account
• Work to reduce backlog of unpaid claims in legacy systems
• Read and analyze EOBs and ERAs
• Payment posting
• Maintains HIPAA patient confidentiality standards for medical and financial information

Requirements

• Knowledge of CPT, ICD, and LCD guidelines
• Ability to communicate clearly and concisely, both orally and in writing
• Competency with Microsoft Office and G Suite
• Excellent problem-solving skills and high attention to detail
• Adapt well to changes in processes and procedures
• Understanding of insurance plans and basic accounting
• Knowledge and understanding of the medical claims billing cycle and HCFA1500 forms, HCPCs, Modifiers
• Excellent time management and organizational skills
• Positive attitude, able to work well with a team as well as independently
• Strong knowledge of Government Programs – ex: Medicare, Medicaid, Tricare, VA
• Strong knowledge of commercial policies
• Excellent customer service skills and phone manner

Qualifications

• Certification (Preferred): CPC, CBCS, OR CCA
• Dermatology Experience (Preferred)

Education

• High school Diploma

Benefits

• 401(k)
• Dental insurance
• Employee discount
• Health insurance
• Paid time off
• Vision insurance

Benefit Conditions

• Only full-time employees eligible

Schedule

• Day shift
• Monday to Friday

Experience

• Medical Billing: 1 year (Required)

Work Location

• In person

COVID-19 Precaution(s)

• Personal protective equipment provided or required
• Temperature screenings
• Social distancing guidelines in place
• Sanitizing, disinfecting, or cleaning procedures in place

Job Type

• Full-time

Pay

• From $17.00 per hour

Schedule

• Day shift
• Monday to Friday