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Medical Biller

Medical Biller

SkuadGuntur, IN
2 days ago
Job description

Medical Biller - Remote EST Time Zone

Your job would involve :

  • Primarily remote work with meeting in person on a necessary basis
  • Verify coverage and eligibility for medical services
  • Communicate with insurance providers and patients
  • Review patient bills and correct any missing or inaccurate information
  • Use a billing software to prepare and transmit claims
  • Clear up balance discrepancies
  • Investigate and appeal claims that were denied
  • Complete data entry to update spreadsheets and reports
  • Work with patients to set up payment plans
  • Adapt to updates and changes in billing software
  • Process denial management for claims rejected by the Insurance

companies

  • Create and maintain licensing, credentials and insurance records
  • Conduct research on updated state and federal regulations and policies
  • Release information to requesting agencies and public inquiries when
  • required by law

  • Help develop internal credentialing processes
  • Monitor license and credential expiration dates and advise staff members
  • of required “renew by” dates

  • Ensure the facility and staff members are maintaining compliance with
  • regulatory and accrediting institutions

    What You Should Have :

  • Proficiency with computers and medical billing software
  • Knowledge of unfair debt collection practices and insurance guidelines
  • Understanding of primary code classifications : ICD-10-CM, ICD-10-PCS,
  • CPT and HCPCS

  • Communication skills with patients / healthcare companies
  • Basic accounting and bookkeeping practices
  • Bachelor's or Associate's degree preferred
  • Minimum of 5 years of healthcare billing and credentialling experience
  • Passion for healthcare and technology
  • Exceptional written and verbal communication skills
  • High degree of professionalism
  • Strong customer relationship management skills
  • Ability to foster strong, positive relationships
  • Proven ability to set goals and meet deadlines
  • Understanding of healthcare billings and credentialling industry
  • Certified Provider Credentialing Specialist (CPCS) certifications – Is a plus
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    Medical Medical • Guntur, IN