Medical Biller (REMOTE OR IN OFFICE)

CDR Maguire Remote
medical remote billing insurance accounts software cycle education medical treatments procedures compliance calling
November 2, 2022
CDR Maguire
Augusta, Georgia
FULL_TIME

ESSENTIAL FUNCTIONS:



  • Checking eligibility and benefits verification for treatments and procedures.

  • Reviewing patient bills for accuracy, completeness, and obtaining any missing information.
  • Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.
  • Following up on unpaid claims within standard billing cycle timeframe.
  • Checking each insurance payment for accuracy and compliance with contract discount.
  • Calling insurance companies regarding any discrepancy in payments. Identifying and billing secondary or tertiary insurances.

  • Reviewing accounts for insurance of patient follow-up.
  • Researching and appealing denied claims.
  • Answering all patient or insurance telephone inquiries pertaining to assigned accounts.
  • Setting up patient payment plans and work collection accounts.
  • Updating billing software with rate changes. Updating cash spreadsheets and running collection reports.

Requirements


EDUCATION, EXPERIENCE AND SPECIAL SKILLS REQUIRED:


  • A minimum of 2-3 years of recent experience in medical billing required
  • Prior medical office experience preferred
  • Excellent computer skills and interpersonal skills
  • Knowledge of full revenue cycle (processing claims, resolving denials, maximizing reimbursement, A/R)
  • Must be customer service focused.

  • Ability to multitask
  • Proficient in Outlook, Microsoft Suite which includes Word, Excel, etc.
  • Excellent verbal and written communication skills, especially to a diverse range of audiences and settings.
  • The ability to make decisions.
  • The ability to handle multiple tasks while working in a fast-paced environment and meet deadlines

  • Ability to deal with high pressure
  • Flexible schedule to include late afternoon and evening hours and overtime and weekends as needed to provide support
  • Demonstrates passion for the role
  • Partners and collaborates effectively to create win wins with internal operational partners and external partners
  • Strong relationship building and influencing skills with the ability to balance education vs. accountability

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