Remote Medical Biller

The Medical Biller will provide thorough follow-up and/or re-billing of unresolved hospital and physician insurance claims.

Description:

• Responsible for performing claim research and electronic claims follow-up work with multiple insurance companies either by electronic system or phone depending on insurer, to resolve accounts which have been billed but remain unresolved.
• Reviewing notes on client systems to see what work has already been performed.
• Determining next steps by either using electronic tools or calling the insurance company to determine claim status, depending on insurer.
• Work specific payers/insurers and accounts as assigned by management.
• Responsible for submitting accounts to be written off or changed to patient responsibility.
• Responsible for claim denials and determining how to resolve the claim either by correction, re-billing, or if it was rejected authorization issues.
• Responsible for working from multiple computer systems simultaneously and learning them quickly.
• Perform limited training and support to billing associates being moved to a new client or those simply needing assistance.
• Receive ongoing training on different payer mixes, clients, and client systems.
• Following all Federal and State guidelines concerning the proper handling of medical receivables.
• All other duties as assigned by management.

Additional Skills & Qualifications:

• High School diploma or GED
• 3+ years of Medical Billing experience for Hospital and/or Physician office
• Claim denials/re-billing experience
• Microsoft Windows operating systems experience