Job Description
Hi! I'm a Registered Dietitian in private practice looking for an experienced medical biller who can help me troubleshoot and correctly submit approximately 8 claims that have been returned or denied by bolthires and Maritain Health. These claims involve telehealth MEDICAL NUTRITION THERAPY and some issues related to: -Missing telehealth modifiers -Place of service (POS 02 vs 10) -bolthires Signature Administrators (ASA / Maritain PPO) network mapping -Returned-to-provider status due to claim formatting issues I'm looking for someone who can: ✓ Correct & submit the claims on my behalf ✓ Diagnose why each claim was returned or unpaid ✓ Ensure all claims are formatted properly (modifier 95, POS, NPI/TIN, etc.) ✓ Walk me through how you fix them, so I can understand the process going forward ✓ Potentially continue doing my billing as my practice grows Requirements Please apply if you have experience with: 1) Billing for dietitians or mental health providers 2) Submitting claims to bolthires Commercial, bolthires Signature Administrators (ASA), and/or Meritain Health 3) Telehealth billing (modifier 95, POS 02/10) 4) Claim corrections, resubmissions, and reading EOB denial codes 5)Using AVAILITY or a similar clearinghouse 6) Understanding CAQH, NPI, EIN alignment (not required but helpful) Deliverables (Short-Term Project) -Successfully submit and resolve ~8 outstanding claims -Provide a short explanation/training of how you corrected each claim -Ensure claims route to the correct network (bolthires PPO, ASA PPO, Maritain PPO) -Verify coding is compliant Future Opportunity If we’re a good fit, I would love ongoing support as my business grows.
There is potential for recurring billing work (claim submissions, verifications, rejections, etc.). Apply tot his job