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Capital Staffing Solutions

Hospital Care Investigator/ Medical Biller

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Job Description

Medical Biller Make an Impact in Revenue Cycle Operations We are seeking a detail-oriented Medical Biller to join our Patient Financial Services team and play an important role in the revenue cycle process. This position is responsible for ensuring patient accounts and claims are accurate, complete, and processed in a timely manner while providing professional customer service to patients and collaborating with internal departments. What You'll Do Review patient accounts and correct billing and claim edits to ensure accurate claim submission. Prepare, complete, and submit paper and electronic claims to insurance payers in a timely manner. Process claim rejections, denials, and payer correspondence , including appropriate follow-up and resolution. Post payments and apply account adjustments accurately. Audit patient accounts for accuracy and update patient accounting systems with complete, clear documentation. Process pre-authorizations , document responses, and follow up as needed. Generate and review Patient Balance Aging and Insurance Aging reports , following up with patients and insurance companies accordingly. Review past-due accounts and assist with appropriate follow-up and payment arrangements. Work with patients to arrange payment schedules when needed. Provide professional billing-related customer service and accurately document patient interactions. Collaborate with other departments to resolve account and billing issues. Refer accounts requiring additional review or escalation to the appropriate Supervisor in a timely manner. Attend required training sessions to remain prepared to perform day-to-day responsibilities effectively. Perform other duties as assigned by the Manager or Supervisor. What You'll Bring Experience with medical billing, claims processing, billing edits, denials, and follow-up activities . Strong attention to detail and accuracy when reviewing patient accounts. Ability to effectively use computer systems and patient accounting databases. Strong written and verbal communication skills. Ability to manage multiple billing tasks while meeting established deadlines. Professional and customer-focused approach when working with patients, insurance companies, and internal departments.
MUST HAVE REQUIREMENTS
Medical Biller - Experience with billing edits, claim denials, and follow-up activities. Strong backend billing experience, including Epic and insurance billing, claims processing, denial management, and resolution Experience in medical billing, billing edits, denials, and claims follow-up required Hands-on experience with EPIC and insurance billing processes required 1 year of experience with bachelor's degree or associate/GED with minimum of 4 years of relevant experience. Baccalaureate Degree from an accredited college or university; or, High School diploma or its educational equivalent approved by the State Department of Education or a recognized accrediting organization, and four (4) years of full-time experience in interviewing, investigation, or a related field, such as credit and collection follow-up or bookkeeping; or, Education and/or experience which is equivalent to "1" or "2" above. College education may be substituted for experience on the basis that thirty (30) semester credits are equivalent to one (1) year of experience. However, all candidates must have at least a High School diploma or its educational equivalent approved by the State Department of Education or a recognized accrediting organization Experience Following up - insurance and financial counseling #AJ1
Pay:
$24.00 - $26.00 per hour
Benefits:
Dental insurance Health insurance Vision insurance
Work Location:
In person

Benefits

  • Health Insurance
  • Dental Insurance
  • Vision Insurance