Job Description
Description:The Medical Biller will be responsible for reviewing and approving CPT & ICD-10 codes entered by providers electronically, working denials, answering patient phone calls and working outstanding insurance A/R.If you are a highly motivated individual with a passion for providing excellent patient care, we encourage you to take a look at our Medical Biller opportunity. We offer a competitive salary and benefits package, as well as opportunities for growth and advancement within our organization.Competitive Pay & Benefits: Med/Dental/Vision, Paid Personal Time, Paid Holidays, 401K, Paid STD/LTD/LifePosition has Work From Home (Remote) potential ONLY for candidates living in Ohio.In-office training is required for the initial 12-16 weeksEssential Functions:
- Must have strong knowledge of CPT and ICD 10 coding guidelines, Modifier usage and CCI bundling edits.
- Review and submit accurate claims to various insurance companies either electronically or by paper.
- Answers questions from patients, clinical staff and insurance companies.
- Identifies and resolves patient billing issues.
- Evaluates patient's financial status and establishes budget payment plans.
- Reviews denials from insurance companies and prepares appeals.
- Reviews rejected claims and corrects errors to facilitate successful submission of claims.
- Participates in educational activities and attends monthly staff meetings.
- Conducts self in a professional manner.
- Maintains confidentiality and adheres to all HIPAA guidelines and regulations.
- Candidate should have a minimum of 1 year on the job medical billing experience or certification through AAPC or AHIMA.
- Must have strong knowledge of CPT and ICD 10 coding guidelines, Modifier usage and CCI bundling edits.
- Excellent oral and written communication skills required.
- Knowledge of basic medical coding and billing.
- Must have High School Diploma or GED required.
- Knowledge of GE-Centricity/Athena practice management software beneficial but not required.
- Knowledge of Microsoft Office software beneficial.
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