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Medical Biller Pediatrics-Proficient in Medicaid/Medicare

Wee Care Pediatrics
Colorado, CO Full Time
POSTED ON 3/23/2025
AVAILABLE BEFORE 5/23/2025

We are a fast paced and family friendly and patient focused pediatric practice looking for an experienced and family-centric medical biller.

Must be highly proficient in pediatric test codes and billing via electronic medical record system, Reviewing physicians’ notes and charts for accuracy & assigning appropriate medical codes to all diagnoses or services, and preparing and submitting clean claims to various insurance companies either electronically or by paper.

  • Follow up with insurance companies on submitted claims for status of payment via phone call, email, or the use of websites.
  • Appeal denied claims with the necessary documentation.
  • Actively work accounts receivable to maintain acceptable days in A/R.
  • Maintain strict confidentiality regarding PHI as well as follow HIPAA regulations.
  • Identify issues with HCFAs and/or electronic claims.
  • Communicate issues with the team and supervisor.
  • Be able to work independently as well as in a team environment.
  • Contact insurance companies to effectively discuss denials and reprocessing of claims.
  • Familiar with specific payer remarks codes to make informed decisions as to most effectively get claims corrected and paid

Qualifications: MinimumQualifications / Experience: 2 years experience working in the medical billing field experience pediatrics is a plus

  • 1 year experience obtaining prior authorizations
  • Knowledge of EOBs
  • Attention to detail is a must
  • Ability to multitask
  • Ability to learn new software quickly and efficiently Education / Certifications:
  • Requires a high school education or equivalent
  • Medicaid and Medicare proficient

We are a close knit hard working team offering a great position with benefits available after 90 days and flexible work schedule.

Job Types: Full-time, Part-time

Pay: $19.00 - $28.00 per hour

Benefits:

  • Dental insurance
  • Flexible schedule
  • Health insurance
  • Paid time off
  • Vision insurance

Work Location: Hybrid remote in Colorado Springs, CO 80923

Salary : $19 - $28

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