What are the responsibilities and job description for the Medical Biller position at Medical Recovery Services?
Responsibilities of this full-time position may include:
1. Use various billing systems and clearinghouses to perform data entry and prepare hospital and physician bills for submission to third-party payers
2. File hospital and physician claims and work accounts receivable (UB04/1450/1500) on primary and secondary third-party payers; responsibilities include submission and follow-up with Medicare, Medicaid, Commercial, Auto Liability and Work Comp claims in a timely manner according to contractual requirements and provider policy
3. Identification/correction of system edits preventing successful electronic filing
4. Practice proactive denials management
5. Communicate and work cooperatively with third-party payers to resubmit rejected or denied claims and work through to completion (zero-balance).
6. Correct errors and resubmit all unprocessed, rejected or returned claims
7. Work A/R reports as necessary to follow up on unpaid claims
8. Submit paper claims as may be required, i.e., work comp
9. Prepare and submit 1st and 2nd level appeals as necessary
10. Other duties as assigned
Desired Skills and Experience: This is a hybrid position for an experienced hospital biller. Epic and/or Cerner experience required. Qualified candidates will possess excellent communication skills, the ability to multi-task and must be able to work independently in a fast-paced environment.
Qualifications
1. 2-3 years prior hospital billing experience
2. Thorough understanding of claims processing and medical code sets
3. Thorough understanding of A/R follow-up process
4. Knowledge of standard industry health plan structures.
5. Proficiency in MS Office.
6. Experience billing from Epic and or Cerner
Salary : $45,000 - $54,000