Job Overview We are seeking a detail-oriented and experienced Medical Biller/Revenue Cycle Specialist/Medical Collector/Insurance Precertification to join our team. The ideal Candidate must be well versed and have working knowledge of Managed care Contracts, Medicare, Medicare products, Medicaid and all commercial plans. Candidate must be well versed in insurance precertification, insurance verification and manual calculations of benefits. The ideal candidate will have minimum of 1 year experience with eClinicalsWorks. Attention to detail desired. This position requires strong verbal and written skills. Ability to appeal claims that are short paid, unpaid, denied or due reimbursement per the negotiated contract. The ideal candidate will play a crucial role in managing the revenue cycle processes, ensuring accurate billing, coding, and collections in accordance with industry standards. This position requires a strong understanding of medical terminology and coding systems, as well as the ability to work collaboratively within a healthcare environment. Responsibilities Review and process medical claims for accuracy and completeness. Utilize and familiar with ICD-9 and ICD-10 coding systems to ensure proper coding of diagnoses and procedures. Collaborate with medical office staff to resolve billing discrepancies and issues. Maintain and update medical records to ensure compliance with regulations. Perform medical billing tasks including charge entry, payment posting, and account reconciliation. Conduct follow-ups on outstanding claims and manage the medical collection process. Analyze revenue cycle data to identify trends and areas for improvement. Ensure adherence to DRG guidelines and other regulatory requirements. Qualifications Proven experience in medical collection and billing, claims corrections, coding, or related fields within a healthcare setting. Strong knowledge of medical terminology, ICD-9, ICD-10 codes, DRG classifications, and revenue cycle processes. Familiarity with medical office operations and electronic health record (EHR) systems. (eClinicalsWorks strongly preferred) Excellent attention to detail with strong analytical skills and verbal skills Ability to communicate effectively with healthcare professionals and patients. Certification in Medical Coding or Billing is preferred but not required. Prior Experience in medical billing or a related field required. Proficiency in using billing software and systems relevant to the revenue cycle. Ability to work independently as well as collaboratively in a team environment Join our dedicated team where your expertise will contribute significantly to our mission of providing exceptional healthcare services.

Job Type:

Full-time Pay:

$23.00 - $25.00 per hour

Benefits:

401(k) 401(k) matching Dental insurance Health insurance Paid time off Vision insurance

Work Location:

In person