Medical Biller I (CD)

CPA medical Billing a division of GeBBS Health Care company is currently seeking an experienced medical biller with FQHC billing experience to join our team. Connecticut based candidates only.

The Medical Biller/Accounts Receivable Specialist is one of the most important components to revenue cycle management as this role play an integral part in getting the doctors paid. This position requires a vast array of different skills that when applied properly deliver a positive result in a timely manner.

Responsibilities and Duties:

Research:

• Work aged accounts on assigned payers prioritizing accounts that are approaching timely filing denial.
• Devote time weekly to work current rejections 1 to 90 days old. Fix errors and re-bill accordingly.
• Look up payer eligibility using payer websites or call payers to gather needed information for billing. Update all accounts in the system for that patient and promptly re-bill.
• Contact guarantors as needed to determine insurance coverage. Drop tickets having no insurance to self-pay and bill patient.
• Work and identify the reason for the credit balance. Be sure everything going to the patient is self-pay. Review tickets on hold, checking chart to be sure they should be on hold and release after days on hold for that payer if dollars exist.

Appeals:

• Initiate appeals to payers following the guidelines outlined for that payer. Note account and track appeal to resolution.

Accountability:

• Enter notes on all tickets with action taken and paste any proof of insurance eligibility.
• Be prepared to account for action taken on tickets. Participate in meetings as instructed by management.
• Provide work status updates to management upon request that may including running statistical reports.
• Meet or exceed all set deadlines and goals.
• Promptly inform management of any problems or changes with system or payers identified during the course of daily work.

Qualifications and Skills:

• At least 1-3 years of full-time medical billing accounts receivable work with a focus on FQHC billing.
• Availability to work full-time (40 hours per week) between the hours of 8am and 6:00pm Monday through Friday (no weekends)
• Strong work ethic and ability to work independently in a very busy office
• 1-3 years experience with Epic
• Completion of Medical billing/ coding program or certification is strongly preferred
• At least 2 years of coding