Medical Biller (Remote- CA, TX, AZ, ID)

Compensation will be based on the candidate's relevant experience, skills, and qualifications. General Summary of the

Job:

This position is responsible for entering charges for all services rendered to the patient. The position is a Full-Time Non-Exempt position.

Essential Job Functions:

Responsible for accurate posting of charges/payments from the data fee tickets Ensure that the charges entered are correct as well as make corrections, as required Accurate and appropriate medical necessity linkage of reported diagnoses Interpret medical records to assign/verify appropriate diagnostic and procedure codes Run and analyze payment balancing report to ensure accurate posting Perform other duties and projects as assigned Expert ability to add specific data such as modifiers, payer specific information, including authorization criteria, CPT, ICD-10-CM and HCPCS codes Knowledgeable to append modifiers based on payer specifics, insurance and authorization requirements and referring physicians' unique attributes Expectations Maintain confidentiality; adheres to all HIPPA guidelines/regulations Demonstrate understanding of EPM/EHR system Participate in professional development activities to keep current with health care trends Maintain workflow and follow company's policies and procedures Reliable with excellent attendance record Education and Experience High School Diploma required Basic computer skills required Minimum of two years of experience in healthcare billing and/or collections, or possession of an AHIMA or APC certification required. Experience in orthopaedic field is preferred

Performance Requirements:

Knowledge:

Understanding of full billing and collections cycle. Understanding of EOB payment posting, HMO, PPO Networks, Medicare, Medicaid, Worker Compensation and other third-party carriers. Understanding of medical practice systems. Knowledge of coding classification including

CPT, ICD-10-CM, HCPCS.

Knowledge of medical billing, collections, and appeals process

Skills:

Good organizational skills Attention to detail Skill in establishing and maintaining cooperative working relationships with other employees, being a team player Experience with medical billing system

Abilities:

Ability to interact easily and effectively with others Ability to handle multiple tasks simultaneously Ability to plan, analyze and problem solve, organize and prioritize work Ability to work cohesively in a team atmosphere Ability to take the initiative, make sound judgment, and strong work ethic Equipment Operated Standard office equipment including computers, fax machines, copiers, printers, telephones, etc. Work Environment Position may be in either a well-lighted office or home environment. Mental/Physical Requirements Involves sitting approximately 90 percent of the day, walking or standing the remainder.