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Healthcare

Medical Biller

Omega USBoca Raton🇺🇸United States

Quick overview

SeniorityMid Senior
Work modeHybrid
LocationBoca Raton, United States
Microsoft OfficeAccounts ReceivableCPT Coding

Job description

  • Performs the review and confirmation of work orders prior to billing, by verifying accuracy of order and required documentation such as prescriptions, certificates of medical necessity, prior authorizations, diagnosis and procedure codes. 

  • Monitors the confirmation work queue to ensure timely confirmation of work orders. 

  • Track incomplete information and communicate feedback to management and intake staff.

    • Works accounts receivable aging reports performing follow up in accordance with policies and procedures. 

    • Generates and processes statements and claim forms in an accurate and timely manner.

    • Obtains, verifies and maintains customer demographics and insurance information for billing purposes. 

    • Works to resolve carrier denials and correspondence for proper payment of claims. 

    • Shares responsibility through timely communication of identified problems to assure proper follow up is completed to expedite clams and ensure proper payment. 

    • Identifies potential discrepancies in claims payment processing.

    • Answers questions and resolves problems related to billing operations.

    • Provides clear documentation of all communication related to accounts in account or claim notes.

    • Reviews credit balance accounts on a monthly basis. 

    • Prepares appropriate paperwork when refunds are warranted, based on history of account and contractual agreements; forward to Lead Billing Account Specialist for approval and processing.

    • Assists clients with questions, payments and account resolution.

    • Makes payment arrangements and process statements and take collection measures when necessary.

    • Billing Administration

      • Works accounts receivable aging reports performing follow up in accordance with policies and procedures. 

      • Generates and processes statements and claim forms in an accurate and timely manner.

      • Obtains, verifies and maintains customer demographics and insurance information for billing purposes. 

      • Works to resolve carrier denials and correspondence for proper payment of claims. 

      • Shares responsibility through timely communication of identified problems to assure proper follow up is completed to expedite clams and ensure proper payment. 

      • Identifies potential discrepancies in claims payment processing.

      • Answers questions and resolves problems related to billing operations.

      • Provides clear documentation of all communication related to accounts in account or claim notes.

      • Reviews credit balance accounts on a monthly basis. 

      • Prepares appropriate paperwork when refunds are warranted, based on history of account and contractual agreements; forward to Lead Billing Account Specialist for approval and processing.

      • Assists clients with questions, payments and account resolution.

      • Makes payment arrangements and process statements and take collection measures when necessary. 

      • Maintains current knowledge of carrier specific requirements by attending workshops, reading newsletters and acting as liaison in carrier meetings. 

      • Provides communication and teaching to Billing Account Specialists, Payment Posting Specialist and Billing Records Technician.

High School or Vocational School graduate

All staff are expected to participate in appropriate continuing education as may be requested and/or required by their immediate manager.  In addition, staff are expected to accept personal responsibility for other educational activities to enhance job-related skills and abilities.  All staff must attend mandatory educational programs.

Proficient in Microsoft office software.

Previous medical office experience.

Familiar with billing codes i.e., HCPCS, Revenue, CPT Coding, Diagnosis Coding, etc.

HME AND BRIGHTREE EXPERIENCE REQUIRED

Experience with Epic is Required

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