MG Biller Position Available In Bristol, Massachusetts

KEY RESPONSIBILITIES

Maintain third party billing records research andanalyze delinquent third-party payer claims resolution of problems suchas reimbursement and then adjust and resubmit claims. Follow up onsubmitted claims and patient billing. Research and analyze delinquentthird-party payer claims such as Medicare Medicaid and Commercial andNon-commercial carriers; verify patient eligibility adjust and submitclaims as necessary. Respond to inquiries from patient/third-partypayers; explain insurance coverage to patients research problems andcorrect errors by utilizing accurate ICD 9 and CPT codes. Maintain andupdate patient demographic information for proper billing to Insurancecarriers as necessary. Follow up on submitted claims monitor unpaidclaim reports; initiate tracers; resubmit claims as necessary. Respondto all inquiries from third-party payers in a timely manner. Respond toinquiries from individual insurance carriers (Commercial andNon-commercial) as well as patient calls with specific insurancequestions. Post and initiate corrective action for all rejections fromchecks as well as correspondence from different insurance carriers.

Other information:

REQUIRED QUALIFICATIONS

Knowledge in third-partymedical billing with 2 years’ experience in specialty servicespreferred. Solid working knowledge of third-party billing ICD 10 and CPTcodes Excellent interpersonal and communication skills high level oforganizational skills; self-motivated; strong problem solving skills;the ability to exercise independent judgment based upon establishedpolicies protocols or practices

EDUCATION

High School diploma required.