Medical Billing / AR

  • location: Lansing, MI
  • type: Contract
  • salary: $24.47 per hour
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job description

Medical Billing / AR

job summary:
Job Description:

Summary:

  • The main function of a medical biller is to submit medical claims to insurance companies and payers such as Medicare and Medicaid.
  • Responsible for the timely submission of technical or professional medical claims to insurance companies.
  • The position may be located in physician offices, hospitals, nursing homes, or other healthcare facilities.
Job Responsibilities:

  • Obtain referrals and pre-authorizations as required for procedures
  • Check eligibility and benefit verification
  • Review patient bills for accuracy and completeness and obtain any missing information
  • Prepare, review, and transmit claims using billing software, including electronic and paper claim processing
  • Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid Follow up on unpaid claims within standard billing cycle timeframe Check each insurance payment for accuracy and compliance with contract discount
  • Call insurance companies regarding any discrepancy in payments if necessary Identify and bill secondary or tertiary insurances
  • All accounts are to be reviewed for insurance or patient follow-up Research and appeal denied claims
  • Answer all patient or insurance telephone inquiries pertaining to assigned accounts.
  • Set up patient payment plans and work collection accounts Update billing software with rate changes Updates cash spreadsheet, runs collection reports
Skills:

  • Knowledge of HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
  • Use of computer systems, software, 10 key calculator
  • Effective communication abilities for phone contacts with insurance payers to resolve issues
  • Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds
  • Able to work in a team environment
  • Problem-solving skills to research and resolve discrepancies, denials, appeals, collections Knowledge of accounting and bookkeeping procedures
  • Knowledge of medical terminology likely to be encountered in medical claims
Education/Experience:

    High school diploma Knowledge of business and accounting processes usually obtained from an associate's degree, with a degree in Business Administration, Accounting, or Health Care Administration preferred 8 to 10 years of experience.
Required Skills:

  • Must have experience billing Medicare acute facility claims.
  • Must have experience with DDE and the FISS system.
  • Knowledge of CMS guidelines required.
  • This is a remote position, so the user can live in any state.
  • Must be self motivated and results oriented.
  • This is not a coding position.
  • This is not a physician practice position.
  • Must have acute hospital Medicare billing and follow-up experience.
 
location: Lansing, Michigan
job type: Contract
work hours: 8 to 5
education: High School
experience: 2 Years
 
responsibilities:
Job Description:

Summary:

  • The main function of a medical biller is to submit medical claims to insurance companies and payers such as Medicare and Medicaid.
  • Responsible for the timely submission of technical or professional medical claims to insurance companies.
  • The position may be located in physician offices, hospitals, nursing homes, or other healthcare facilities.
Job Responsibilities:

  • Obtain referrals and pre-authorizations as required for procedures
  • Check eligibility and benefit verification
  • Review patient bills for accuracy and completeness and obtain any missing information
  • Prepare, review, and transmit claims using billing software, including electronic and paper claim processing
  • Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid Follow up on unpaid claims within standard billing cycle timeframe Check each insurance payment for accuracy and compliance with contract discount
  • Call insurance companies regarding any discrepancy in payments if necessary Identify and bill secondary or tertiary insurances
  • All accounts are to be reviewed for insurance or patient follow-up Research and appeal denied claims
  • Answer all patient or insurance telephone inquiries pertaining to assigned accounts.
  • Set up patient payment plans and work collection accounts Update billing software with rate changes Updates cash spreadsheet, runs collection reports
Skills:

  • Knowledge of HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
  • Use of computer systems, software, 10 key calculator
  • Effective communication abilities for phone contacts with insurance payers to resolve issues
  • Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds
  • Able to work in a team environment
  • Problem-solving skills to research and resolve discrepancies, denials, appeals, collections Knowledge of accounting and bookkeeping procedures
  • Knowledge of medical terminology likely to be encountered in medical claims
 
qualifications:
Education/Experience:

    High school diploma Knowledge of business and accounting processes usually obtained from an associate's degree, with a degree in Business Administration, Accounting, or Health Care Administration preferred 8 to 10 years of experience.
Required Skills:

  • Must have experience billing Medicare acute facility claims.
  • Must have experience with DDE and the FISS system.
  • Knowledge of CMS guidelines required.
  • This is a remote position, so the user can live in any state.
  • Must be self motivated and results oriented.
  • This is not a coding position.
  • This is not a physician practice position.
  • Must have acute hospital Medicare billing and follow-up experience.
 
skills: Other
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

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