What are the responsibilities and job description for the Accounts Receivable Medical Biller position at TEKsystems?
Job Description
Job Description
Description :
Responsible for performing research, correction, and updates within the accounts receivable management systems toward the purpose of billing for and receipt of compensation on services provided in the course of resident care. Completion of account management functions such as billing, collection, reimbursement calculation, cash posting and reconciliation on assigned inventory are basic functions required for this position.
Operational :
Responsible for the accurate pre-billing review, billing, follow up, and cash posting of charges within their assigned functional area.
Admissions and Census review
Triple Check Claim Validation
Billing for all business lines
3rd Party Follow Up
Private Pay Follow Up
Cash and Denials posting
Credit Balance and Refund resolution
Resident Final Billing
Customer Service-A / R Help Desk
Month-end Close
Translates internal charge files to appropriate billing formats for electronic and manual claims submission to third party and private payers.
Performs follow-up and collections of accounts with outstanding balances. Adheres to department guidance on account documentation notes structure and content to provide all stakeholders with actions taken and next steps for accounts receivable management.
Initiates appeals, corrected claims submissions, or submits medical records in response to payer requests for information or denied claims.
Post contractual allowances, write-offs and payments against appropriate claim / line item using the Explanation of Benefits (EOB) or Remittance Advice.
Post rejection and denial transaction codes and descriptions using the Explanation of Benefits (EOB) or Remittance Advice.
Researches misapplied cash and credit balances utilizing appropriate payment and write-off codes.
Skills :
Medical Billing, EMR, Customer service, Medicaid, Medicare, Accounts receivable, Medical billing, Cash application, Claim
Additional Skills & Qualifications :
At least one of the following is required :
Minimum two (2) years healthcare accounts receivable experience in billing, collections, cash posting or other healthcare revenue cycle related experience.
Graduation from an accredited two-year college with major coursework in Accounting, Finance, Business Administration, Healthcare Finance / Administration or related field of study IS PREFERRED
Current Certified Revenue Cycle Specialist (CRCS-I) from the American Association of Healthcare Administrative Management (AAHAM) is preferred.
Knowledge of billing, collections, and cash posting processes in a health care provider environment.
Medicare, Medicaid and Managed Care experience a plus.
Experience working with CPT and ICD-10.
Knowledge of medical terminology.
Knowledge of Federal, State and third party electronic claims submission, denials and reimbursement practices.
Experience working with CMS1500 and UB04 claim forms.
Knowledge of Vision or other medical practice management systems.
Proficient knowledge of Microsoft Office including Excel, Word and Outlook.
High School Diploma or equivalent is required.
Pay and Benefits
The pay range for this position is $22.00 - $25.00 / hr.
- Medical, dental & vision
- Critical Illness, Accident, and Hospital
- 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
- Life Insurance (Voluntary Life & AD&D for the employee and dependents)
- Short and long-term disability
- Health Spending Account (HSA)
- Transportation benefits
- Employee Assistance Program
- Time Off / Leave (PTO, Vacation or Sick Leave)
Workplace Type
This is a fully onsite position in Catonsville,MD.
Application Deadline
This position is anticipated to close on Feb 12, 2025.
About TEKsystems :
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
Salary : $22 - $25
