Medical Biller

Our client, a specialized medical practice with eight full-time physicians, is seeking a full-time Medical Biller in Monmouth County. This is a growing practice and the Medical Biller will join a tenured team.

Salary/Hourly Rate:

$26/hr – $28/hr

Position Overview:

The Medical Biller will be responsible for analyzing assigned past due accounts and coordinating between third-party payers and internal parties to resolve payment discrepancies and delayed payments.

Responsibilities of the Medical Biller:

• The Medical Biller will prepare and submit clean claims to various insurance companies either electronically (EDI) or by paper, following payer guidelines/contract requirements.
• Ensure appropriate supporting documentation is received and complete to ensure accurate and timely processing of claims.
• The Medical Biller will analyze and update claims submitted and rejected during initial submission to ensure accuracy and completeness for high second submission approval.
• Research and perform all secondary billing.
• Possess a full understanding of EOBs to ensure payment accuracy and compliance with contract discounts.
• The Medical Biller will review and recommend claims for adjustment/write off to management.
• Follow up on partially paid and unpaid claims within the standard billing cycle timeframe – outbound calls are required.
• Review denials and process all claim appeals.
• Communicate with payers about re-filing claims that were underpaid due to plan/provider errors.  Use a tracking system to follow up on re-filed claims with plans to ensure complete resolution.
• Support and assist clinic staff in ensuring orders are entered accurately in the POS system and all pertinent information is obtained to process billing accurately with the first submission.

Required Experience/Skills for the Medical Biller:

• 2+ years of medical billing experience.
• Proficient in Microsoft Office Suite.

Preferred Experience/Skills for the Medical Biller:

• CPC certification is a plus.

Education Requirements:

• High school diploma or GED is required.

Benefits:

• Medical, dental, and vision.
• 401(K).

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EOE/M/F/D/V/SO