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    Certified Medical Biller

    Healthcare Company
    2+ years
    $24-$30 per hour
    Remote, USA
    10 Sept. 9, 2024
    Job Description
    Job Type: Full Time Education: B.Sc./ M.Sc./ M.Pharm/ B.Pharm/ Life Sciences Skills: Causality Assessment, Clinical SAS Programming, Communication Skills, CPC Certified, GCP guidelines, ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding, ICH guidelines, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Medical Billing, Medical Coding, Medical Terminology, Narrative Writing, Research & Development, Technical Skill, Triage of ICSRs, WHO DD Coding

    URGENT OPPORTUNITY: Certified Medical Biller

    Location: Remote
    Employment Type: Part-Time (with potential for Full-Time conversion)

    Position Summary:

    We are urgently seeking a certified Medical Biller with over 2 years of experience in a healthcare setting. Experience with Workers' Compensation is preferred. The successful candidate will be responsible for coding and submitting insurance claims, resolving issues, and ensuring timely and accurate billing processes.

    Primary Responsibilities:

    • Submit coded claims to insurance carriers and interpret Explanation of Benefits (EOBs).
    • Complete necessary insurance forms (e.g., HCFA 1500, Blue Cross/Blue Shield, Medicare) to process billing information efficiently.
    • Resolve rejected and denied claims by correcting and resubmitting as needed.
    • File claims and documentation in electronic patient files.
    • Provide required documentation (e.g., HCFA 1500, demographics, authorizations, referring doctors) for the billing process.
    • Obtain and manage appropriate medical records with patient or responsible party authorization.
    • Post charges to patient charts for accurate record-keeping.
    • Address and resolve patient billing issues, communicating resolutions effectively.
    • Follow up with insurance companies on unanswered appeals.
    • Review account status aging reports and present accounts for collections or liens as necessary.
    • Respond to additional information requests from carriers and communicate with adjusters for approvals and authorizations.
    • Perform other duties as assigned.

    Required Experience:

    • High school diploma or equivalent
    • Minimum of 2 years’ experience in claim processing
    • Medical Billing and Coding Certification (Active proof required)
    • Knowledge of CPT/ICD-10/HCPCS codes
    • Ability to interpret Explanation of Benefits (EOBs)
    • Experience with Workers' Compensation billing
    • Proficiency in Government, Commercial, and Workers' Compensation insurance processes
    • Strong problem-solving skills for resolving rejected, disputed, and denied claims
    • Effective communication with healthcare professionals and third-party providers
    • Fluent in English

    Preferred Experience:

    • Workers' Compensation Case Management
    • Credentialing experience
    • Familiarity with Athena Software, Claim.MD, Klara Software, Availity, and ClaimTek Software

    Pay Range: $24-$30 per hour

    Note: This position requires immediate availability. If you meet the qualifications and are ready to start ASAP, we encourage you to apply!

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