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Medical Biller - Orthopedics
Job
Michigan Surgery Specialists
Remote
$37,440 Salary, Full-Time
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Job Description
Medical Biller - Orthopedics Michigan Surgery Specialists - 2.6 Warren, MI Job Details Full-time From $18 an hour 1 day ago Benefits Health insurance Dental insurance 401(k) Tuition reimbursement Paid time off Vision insurance 401(k) matching Employee discount Life insurance Qualifications EDI Managed care Filing Scanning High school diploma or GED Medical administrative support Health insurance knowledge Desktop applications Organizational skills Medicaid Productivity software
Full Job Description Role/Position Definition:
Experienced orthopedics biller with a focus on A/R Follow-up. Responsible for maintaining accounts receivables. Process claims daily, submit all primary, secondary and tertiary claims electronically. Collects unbilled claim edits. Understands and abides by billing compliant regulations.Qualifications/Position Requirements:
- High School Diploma required.
- One to two years' experience of revenue cycle management or billing experience in the healthcare field.
- Knowledge of Medicaid/Managed Care Organization (MCO) billing practices, and other insurance websites.
- Experience with billing in an Electronic Data Interchange/3rd party clearinghouse environment.
- Intermediate to advanced computer skills, including the use of Microsoft Office applications.
Duties and Responsibilities:
- Submits claims to payors in accordance with payor requirements and agency policy.
- Receives notices of claim rejections and denials.
- Properly track and resolve issues to ensure claim payment.
- Maintains complete and accurate accounts receivable records.
- Performs troubleshooting for billing error codes.
- Alerts the Manager regarding late or missing documents required for billing.
- Assists with the collection of receivables by monitoring accounts receivables, resubmitting bills to overdue accounts, and alerting the Manager regarding seriously overdue accounts.
- Produces reports as needed.
- Performs administrative duties such as sorting, scanning, filing, and emailing records.
- Address denials and determine next steps.
- Follow up on unpaid claims prior to filing deadlines.
- Re-bill or submit corrected claims.
- Monitor provider newsletter and communications for changes impacting claims payment.
- Prepare insurance refunds.
- Request off-sets and take-backs for overpayments.
- Performs all other duties as assigned.