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.
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: email@example.com
Location: Remote India