What are the responsibilities and job description for the Medical Biller position at Insight Global?
PATHS LLC, located in Cherry Hill, NJ is seeking a Medical Biller/Follow Up Rep to join their team. This individual will be responsible for making claim edits before they are submitted to the payer. This will include but not limited to, reviewing medical coding charts and documentation to review for accuracy, "cleaning the claim" before submission, and monitoring the status after being sent. This will be a production-based environment with the expectation of 55 claims submitted per day.
- Resolve billing discrepancies and denials/rejections promptly and efficiently
- Analyzing/Understanding Explanation of Benefits (EOB) or Remittance Advice (ERA) received from an insurance carrier and take appropriate action according to company guidelines/processes per the client
- Follow-up with insurance companies via phone calls or payer portals on denials/payments
- Ability to find trends and able to research payer policies/guidelines to provide back to the management team
- Correcting and resubmitting claims
- Documentation and data entry
- Able to monitor accounts receivable follow up Work Queues/Reports
- Other duties as assigned
Requirements:
- Diploma or GED
- 1 year of medical billing FOLLOW UP experience (claims edits/submissions)
- Familiar with various insurance carriers
- Knowledgeable in commercial and government payers
- NThrive experience or EPIC Experience
- Understanding of Medical Terminology including CPT and ICD-10 Codes
- Ability to handle 75 claims daily
- Excellent communication skills
Salary : $38 - $43
