BILLING REPRESENTATIVE

Fast growing Healthcare Management Company is seeking an experienced Medical Billing Specialist. Candidate should have at least 3 years of similar experience. The ideal candidate should have excellent communications skills, be reliable, and have the ability to manage multiple tasks in a fast-paced environment.

Candidate should be a quick learner with the ability to work independently. Must be familiar with the following aspects of the Medical Billing field:
• Multi-specialty
• Out of Network & In-network billing practices
• Appeal process
• Payment posting
Credentialing Process
• ICD-10-CM and CPT universal coding systems
• Insurance carrier coding requirements to ensure proper coding

Responsibilities include but are not limited to:
• Train in any new software or processes that may implemented
• Review electronic and paper denials and submit the appropriate appeals
• Be accountable for following timely filing appeals and underpayment appeal requirements
• Follow up on claims and appeal status
• Payment Posting


Qualifications:
• Previous roles in denial management, claims processing, or customer service help.
• Strong knowledge of medical terminology, ICD-10 coding, and CPT.
• Excellent attention to detail and precision to ensure accurate and thorough work.
• Good comprehension of US insurance processes and working with different types of healthcare providers.
• Commitment to a full-time, long-term relationship (no freelancing)
• Well-versed using electronic health records (EHRs) and computer software to encode patient data.
Fast speed reliable Internet service, VPN, noise cancelling headset
• Previous experience with medical appeals submission & payment posting
• Proficient with computers
• Familiar with Google Drive & Google Workplace, Asana, StaffHub, internet-based research and windows-based billing and
Microsoft applications.
• Must work effectively with insurance companies and other outside parties
• Must be organized, able to prioritize tasks and handle multiple projects
• Well-organized, Accuracy, and attention to detail is essential
• Must be able to work independently and as a team player
• Exceptional communication skills (verbal and written)
• Communicates with professionalism and accuracy and maintains courteous working relationships with coworkers
• Ability to read, review, and understand line items on a 1500 claim form
• Maintains and conforms to all Privacy Laws regarding patients and practice
• Medical billing: 3-6 years (Required)
Practice management Systems: INOVALON, ECLINICAL WORKS, Collaboratemd
• Must have good communication skills to handle patient or insurer queries about billing.
• Strictly no moonlighting!

Technical Requirements:
• Computer, laptop, or desktop with a camera (8GB RAM recommended) with a noise-canceling headset. We cannot use Chrome books, tablets, ipads, or cell phones as they are not compatible with our systems.
• Consistent power source; and reliable internet connection (25 Mbps, with a backup connection of 10 Mbps) in a quiet space that is free from distractions to work.
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