Medical Biller

$1,000 Retention Bonus!

Join Our Team at Rejuv Medical!

If you’re looking for a supportive, team-oriented environment focused on healthcare innovation, Rejuv Medical is the place for you! We offer outstanding internal perks, including employee and family discounts on services and procedures (including six FREE clinic visits for the family combined), significant discounts on health and wellness supplements, free on-site gym access (including boot camps and studio classes) for employees and one family member, discounted personal training sessions, education assistance/reimbursements, and comprehensive employee benefits.

We are currently seeking a dedicated and detail-oriented full-time Medical Biller at our Waite Park, MN clinic. This role offers a $1,000 retention bonus and the opportunity to transition into a hybrid/remote work position after successfully completing the training period.

This position is responsible for managing patient medical billing, including processing claims, handling denials, and working aging reports. The role involves educating patients on billing inquiries, insurance coverage, and payment arrangements, while also collaborating with insurance carriers to ensure timely reimbursement. The ideal candidate will excel in a fast-paced, team-oriented environment, demonstrating exceptional customer service skills and the ability to communicate effectively with both patients and staff regarding billing issues, claim statuses, and prior authorization requirements.

Essential Duties and Responsibilities:

Billing and Claims Processing

· Review visit coding, post charges, payments, and adjustments, and process claims for reimbursement.

· Ensure all necessary documentation and attachments are included with claims submissions.

· Investigate and resolve claim denials by correcting errors and resubmitting promptly.

· Work denials and manage collections lists efficiently.

· Generate revenue by making payment arrangements, collecting accounts, and monitoring delinquent accounts.

Insurance Policy and Eligibility Management

· Conduct ongoing research to identify updates or new insurance requirements for clinic procedures.

· Check patient insurance eligibility regularly and update records as needed.

· Verify insurance for coordination of benefits (COB) to ensure accurate billing and that the proper insurer is billed as primary or secondary.

Patient and Insurance Communication

· Respond to patient and insurance inquiries regarding billing, claims, and account balances promptly and professionally.

· Educate patients about insurance coverage, claims processes, and payment obligations.

· Secure payments by interviewing patients, obtaining payment information, and establishing payment plans.

Accounts Receivable Management

· Gather and exchange information necessary to ensure timely processing and reimbursement of claims, promoting maximum cash flow and reducing outstanding accounts receivable days.

· Manage patient accounts, including contacting patients about outstanding balances and establishing payment plans in accordance with Rejuv Medical’s Financial Policy.

· Utilize collection agencies to pursue delinquent accounts when necessary, assessing the appropriateness of legal remedies.

· Issue final notices for unresolved accounts and escalate them to the Billing Office Manager.

· Handle the setup of payment plans for patients and work on collection accounts to ensure timely payments and account resolution.

Insurance Denial and Aging Management

· Monitor clearinghouses for received claim batches, addressing rejections at the clearinghouse level.

· Process and analyze Electronic Remittance Advice (ERA) to identify discrepancies between payment and billed charges.

· Work with ERA to ensure claims are processed correctly, following up with insurance carriers when necessary.

· Communicate with insurance carriers regarding aged outstanding claims to determine processing timelines and follow up as needed.

· Resubmit missing or corrected claims promptly to ensure timely processing.

· Work aging reports to identify and follow up on unpaid claims or patient balances, ensuring issues are addressed proactively and promptly.

· Communicate with manager and clinic staff about claim denials, claim reprocessing needs by providers, claim statuses, and prior authorizations.

Prior Authorization Support

· Monitor action items related to Prior Authorization requests, including urgent and expedited cases.

· Submit Prior Authorization requests with complete and accurate information using the appropriate system for each carrier.

· Respond to requests for additional information and provide updates as needed.

Accident-Related Insurance Management

· Manage accident-related insurance accounts by verifying coverage, coordinating with carriers, and maintaining proper documentation.

· Collaborate with patients and third parties to resolve claims related to accidents efficiently.

Coding Assistance

· Provide basic coding support to ensure accurate billing and claim submissions.

· Have knowledge of CPT, ICD-10, HCPCS, and modifiers to assist in correct coding and ensure accurate claim submission.

· Collaborate with staff to review and resolve coding discrepancies and ensure proper modifier use for accurate billing.

System and Patient Information Maintenance

· Update patient accounts and insurance profiles to maintain accurate records.

· Add and update insurance information in the system as required.

Reporting and Compliance

· Generate billing, payment, and aging reports to identify issues and address them in a timely manner.

· Ensure compliance with HIPAA, OSHA, and other relevant regulations regarding patient confidentiality and billing practices.

· Maintain thorough and organized documentation for all billing and insurance-related activities.

Professional Development

· Stay updated on industry changes and best practices by participating in educational opportunities.

Qualifications:

· Associate’s degree; Bachelor’s degree preferred.

· Minimum of two years of experience as a medical biller.

· Certification in medical billing or a related field, such as Certified Professional Biller (CPB), Certified Professional Coder (CPC), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA) preferred.

· Proficiency in medical billing software and electronic health records (EHR) systems, such as eClinicalWorks (eCW) or Athena preferred.

· Comprehensive knowledge of ICD-10, CPT, and HCPCS coding systems and healthcare reimbursement processes.

· Experience with insurance verification, prior authorizations, claims submission, and payment posting.

· Strong understanding of HIPAA regulations and patient confidentiality requirements.

· Exceptional organizational skills and attention to detail to ensure billing accuracy and resolve discrepancies.

· Excellent communication and problem-solving skills for collaborating with patients, insurance companies, and healthcare providers.

· Ability to multitask, prioritize responsibilities, and meet deadlines in a fast-paced environment.

Training Information:

This position requires full in-office training for the first three months, after which the role will transition to a hybrid work model upon successful completion of the training. Once fully trained and demonstrated competency, the position will transition to a likely fully remote work arrangement.

Compensation & Benefits:

We offer a competitive compensation package that includes a $1,000 retention bonus, three weeks of PTO, two 8-hour flex days, and eight paid holidays. Our benefits package includes a 401k plan with company contribution, health, dental, and vision insurance, a Health Savings Account (HSA) with employer contribution, a flex plan, and life insurance. Additionally, we provide education assistance, wellness program discounts, and employee and family discounts on services, procedures, and health supplements.

Job Type: Full-time

Pay: $26.00 - $27.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Health savings account
• Professional development assistance

Schedule:

• Monday to Friday

Application Question(s):

• What does the term "coinsurance" mean in health insurance?
• What is the most accurate definition of "coordination of benefits" (COB)?
• What does ERA stand for in medical billing?
• What makes you a good candidate for this position? What inspired you to apply?

Ability to Relocate:

• Waite Park, MN 56387: Relocate before starting work (Preferred)

Work Location: Hybrid remote in Waite Park, MN 56387

Salary : $26 - $27