Medical Biller

Job Title: Medical Biller/ AR

Shift: 7:30am-4:00pm

Contract: 3 months

Location: Milwaukee, WI

Pay Range: $24.00/hr. - $26.00/hr. On W2 (All Inclusive)

Duties:

·       Responsible for billing and follow-up of patient and client accounts based on working knowledge of regulations governing CPT codes, diagnosis codes, Medicare, Medicaid, managed care, and commercial insurance guidelines.

·       Research and resolves pending and unpaid laboratory claims to resolution.

·       Accurately interprets remittance advice regarding payments, adjustments and patient responsibility ensuring payment amounts and patient billing are accurate.

·       Reviews of Electronic Fund Transfers (EFTs) / insurance payments where applicable to ensure money is posted to the correct system.

·       Inputs patient, insurance, and claim information into billing systems.

·       Under the direction of Billing leadership, accurately works assigned work queues on billing systems, gathering missing or incomplete billing information when needed.

·       Responsible for claims follow-up.

·       Thoroughly researches reasons for denial, short payments, overpayments, recoupments, and/or refund requests to resolution.

·       Professionally answers incoming phone calls (i.e. patients, clients, payers) providing accurate information regarding outstanding bill/invoice/claim or other reasons for inquiry.

·       Takes patient/client payments over the phone where applicable.

·       Communicate with customers if additional information or research time is required and follow up within an acceptable timeframe.

·       Has working knowledge of daily and payment reconciliation process.

·       Batches incoming mail and handles patient/client/payer correspondence.

Skills: 

·       4 years insurance billing experience.

·       Working knowledge of medical billing practices such as contractual adjustments and cash posting is preferred.

·       Ability to independently resolve problems successfully on the phone with clients, patients and internal departments.

·       Working knowledge of Epic desirable.

·       Training expertise and experience preferred.

Education:      

·       High School graduate.