Medical Biller

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