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Administrative
Medical Biller
Mason, OH

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Sun Technologies

Medical Biller

Job Description

Pay Rate:
$22/ hr the pay rate may differ depending on your skills, education, experience, and other qualifications.
Featured Benefits:
Medical Insurance in compliance with the ACA 401(k) Sick leave in compliance with applicable state, federal, and local laws
GENERAL FUNCTION
The Medical Claims Biller is responsible for monitoring insurance carrier adjudication of TeamVision medical claims for one or more doctor practices. Utilize a practice EHR system and clearing house to review and submit claims to multiple medical insurance carriers Review open/unpaid claim balances and take required action.
MAJOR DUTIES & RESPONSIBILITIES
Review medical claims and transmit to the insurance carrier using the practice electronic health records (EHR) system and clearing house. Monitor rejected claim reports and adjust claims for resubmission to the insurance carrier. Download insurance carrier explanation of payments (EOPs) to post claim payments and denials in the EHR system. Determine if denied claims can be corrected and re-submitted to the carrier. Review aging reports to research open balances and resubmit within insurance carrier filing limits. Utilize insurance carrier websites and contact carriers as needed to investigate denials and claim status. Partner with the clearing house to distribute patient billing statements and monitor the patient portal to post payments in the EHR system. Initiate overpayment refunds to patients and repayments to insurance carriers when required. Serve as the point of contact for the practice regarding all vision and medical claims. Support the corporate manager in maximizing claim collection rate.
BASIC QUALIFICATIONS
High school diploma 3+ years of related work experience Experience with medical billing and coding Ability to prioritize handling of issues Organization skills and ability to multitask Effective communication skills (verbal, written, listening, presentation)
Specific Skills Needed:
Medical Billing, cash application, and collection (collection is not calling demanding payment; it's researching why a claim didn't get paid and taking steps necessary to correct the info) SUN3
Job Type:
Contract Pay:
$20.00 - $22.00 per hour
Benefits:
401(k)
Work Location:
In person