Medical Biller Lead - FT , 5+ Years Exp
About the position
Responsibilities
• Support manager in account specific work such as billing out claims, working rejections and denials, posting payments, A/R follow-up and denial management.
• Investigate complex denials that other staff may be unable to resolve by locating payer policies and evaluating coding problems.
• Access insurance carrier portals or third-party intermediary portals to track down denial reasons and/or payment details.
• Learn and master the use and functionality of the billing software, including the clearinghouse portal.
• Make necessary updates to the practice management software or clearinghouse website to re-submit claims previously denied for payment.
• Assign or identify appropriate CPT codes (ICD-9, DRG, ICD-10), diagnoses codes, and modifiers.
• Verify patient insurance coverage.
• Maintain confidentiality of patient information and adhere to HIPAA regulations.
• Stay updated on changes in medical coding systems and billing procedures.
Requirements
• Minimum of 5 years of experience in medical billing or coding.
• Proficiency in medical coding systems (ICD-9, DRG, ICD-10).
• Knowledge of medical office procedures and medical collection practices.
• Strong attention to detail and accuracy in coding and billing processes.
• Professional communication skills with staff and providers.
• Ability to work independently and meet deadlines in a fast-paced environment.
Nice-to-haves
• Experience with EHR systems
• Organizational skills
• Ability to work well in a team setting.
Benefits
• Health insurance
• Dental insurance
• 401(k)
• Flexible spending account
• Paid time off
• Vision insurance
• Flexible schedule
• Life insurance
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