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Medical Biller Collector

Job description Responsibilities and Duties

  • Post charges, reviewing unusual diagnosis codes, cross-checking procedures with the diagnosis codes, and ensuring proper units are billed.

  • Maximize reimbursement through optimum coding, record keeping, and follow up.

  • Organize and bill electronic insurance claims.

  • Devote time weekly to work current rejections. Fix errors and re-bill accordingly.

  • Maintain accurate and detailed reports such as Aged Account Receivables.

  • Organized work habits, accuracy, and proven attention to detail.

  • Strong organizational, analytical, and interpersonal skills.

  • Exceptional written and verbal communication skills.

  • Excellent telephone and customer service skills.

  • Work aged accounts on assigned payers prioritizing accounts that are approaching timely filing denial.

  • Look up payer eligibility using payer websites/call payers to obtain needed information for billing. Update all accounts in the system for that patient and re-bill.

  • Contact guarantors as needed to determine insurance coverage.

  • Initiate appeals to payers following the guidelines outlined for the payer. Note account and track appeal to resolution.

  • Enter notes on all claims with action taken.

  • Provide work status updates to management upon request that may include running statistical reports.

  • Answer patient phone calls and assist with billing questions.

  • Meet all established deadlines and assigned goals.

  • Inform management of any problems or changes with system or payers identified during the course of daily work.

  • Understand and follow all payer rules when setting up billing schemes on accounts to ensure accurate claims.

  • Understand coding rules and schemes to detect potential claim errors. Consult with supervisor on those accounts in question.

  • Ability to work independently but also work effectively with others as a team to accomplish objectives and goals.

  • Demonstrated self-motivation, initiative, and time management skills.

  • Ability to multi-task and follow schedules.

  • Ability to work within a team setting and as an individual contributor.

  • Benefit Verification

Qualifications and Skills High School Diploma or Equivalent

  • 2-3 years of experience as a Medical Biller or medical billing credentials

  • Extensive knowledge of Medicare and other third-party procedures, payer websites, ICD-9, ICD-10, CPT coding and claims management.

  • Strong computer and keyboarding skills, with the ability to type a minimum of 35 words per minute (WPM)

  • Proficiency using software programs such as MS Word, PowerPoint, Excel, Outlook and Electronic Medical Records is preferred.

  • Experience working with ECW, Trizetto, and Billflash preferred but not mandatory.

Email Resume:

Location: Remote India



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