Medical Biller and Collector

Aldie, VA, USA Med-Strategies, Inc. Jan 16, 2023

Leading Edge Medical Billers wanted with diverse specialty knowledge and EMR billing software experience. This position is responsible for supporting the Revenue Management cycle for a vast variety of providers and specialties.

This position can and will be responsible for tasks in areas such as benefits & eligibility, charge entry, payment posting, denial management and accounts receivables.

This position is not entry-level and requires a minimum of 2+ years' experience that includes diversity in all areas of the revenue management cycle.

Duties and Responsibilities :

  • To transfer insurance claims and billing data to billing software
  • To update billing software with rate changes
  • To create both paper and electronic copies of documentation.
  • To develop and maintain a tracking system of incoming and late payments
  • To follow up on late payments and initiate late payment notices to relevant parties
  • To ensure that all patient information is accurate and complete and request any missing patient information.
  • To obtain and review referrals and authorizations for treatments
  • To confirm patient benefits and insurance eligibility
  • To follow and adhere to all regulations and guidelines set by state programs, and HMO / PPO, etc
  • To monitor and resolve financial discrepancies
  • To handle and answer all patient or insurance telephone inquiries
  • Post all insurance payments, contractual and non-contractual adjustments for assigned carriers by CPT code and transfer outstanding balance to secondary insurance or patient responsibility per EOB protocol
  • Conduct audits and coding reviews to ensure all documentation is accurate and precise
  • Assign and sequence all codes for services rendered
  • Close payment batches daily, reconciling individual carrier payments and EOB statements
  • Initiate processes to follow up on rejected claims as evidenced by EOBs, per EOB protocol
  • Transmit all appropriate electronic and paper claims, correct any errors on claims and re-transmit; file secondary claims as necessary
  • Other duties as assigned

Required Skills :

  • Minimum of 2 years experience in Medical Billing setting
  • High school Diploma
  • Excellent verbal, written and grammar skills
  • Proficient knowledge of Insurance Guidelines (this skill will be tested)
  • Minimum 2 years experience with CPT and ICD coding
  • Team oriented
  • Sound computer knowledge with ability to comfortably navigate Office, Excel & Word programs.
  • Above average mathematical skills

Environment / Work Atmosphere :

  • All work is performed onsite remote work is not available
  • Fast pace and busy
  • A growing company that supports and encourages employees to pursue their passions
  • Family oriented company
  • Comfortable work / life balance with set hours
  • Casual dress, jean-friendly