Overview:
Roessel Joy is working with a pediatric medical center who is seeking a detail-oriented Medical Biller to join our healthcare team. The ideal candidate will have a strong understanding of medical billing procedures and be proficient in medical terminology and coding.
Principal Duties and Responsibilities
- Reviews and verifies all demographic and insurance information utilizing available technologies, payer websites, or by phone contact with third party payers or guarantors.
- Collaborates with management and peers to ensure all required information is obtained for resolution of charge edits, claim edits, denials, and appeals in a timely manner, while adhering to government/payer regulation and department policy/procedures.
- Prepares and submits accurate insurance claims and appeals to payer within required timeframes and in accordance with government/payer regulations and requirements.
- Resolves outstanding charges and claims responding timely and accurately for resolution of outstanding balance while adhering to department policies/procedures.
- Accepts, rejects, and reconciles claim runs on timely basis and processes payer response reports in an effective and timely manner.
- Reviews and processes guarantor overpayments per department policies and procedures.
- Responds to inquiries received via telephone and other correspondence from patients/guarantors, insurance carriers, departments/foundations as needed.
- Assist with the training of newly hired staff in process and system navigation.
Minimum Education and Experience:
- High School diploma or equivalent
- Minimum of 2 years of experience in a multi-specialty physician billing or equivalent medical billing experience
This position requires a candidate who is meticulous, organized, and able to work efficiently in a fast-paced environment. If you meet these qualifications and are looking to contribute your skills to a dynamic healthcare team, we encourage you to apply.
AFTP123
Job Type: Full-time
Pay: $20.00 - $29.00 per hour
Expected hours: 40 per week
Schedule:
Ability to Relocate:
- Medfield, MA: Relocate before starting work (Required)
Work Location: In person