Medical Biller: Superbill Forms (Out-of-network Reimbursement)

We're seeking an experienced medical biller, specializing in out-of-network reimbursements and superbill processing. The ideal candidate will be skilled at maximizing insurance reimbursements for patients through strategic coding and documentation.

Key Responsibilities:

-Process and submit superbills for out-of-network claims via clearinghouse
-Research and apply appropriate ICD-10 codes to optimize reimbursement
-Communicate directly with insurance companies to verify benefits and coverage (phone calls)
-Navigate various insurance portals and documentation requirements
-Maintain current knowledge of out-of-network billing practices and requirements (you should know where to look for updates / how to research denials)
- Work with our clearinghouse systems (Claims MD and Office Ally) - no previous experience with either needed, both very easy to use

Required Skills:

-Strong understanding of medical billing, particularly out-of-network processes
-Expertise in ICD-10 coding and insurance reimbursement strategies
-Excellent phone communication skills
-Detail-oriented with strong research abilities
-Ability to adapt to new software systems

Experience with Healthie EHR is a plus but not required. The position requires a self-motivated individual who can effectively advocate for maximum patient reimbursement while maintaining compliance with insurance requirements.

TO APPLY:

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