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Medical Biller

4 weeks ago

India Skuad: a Payoneer company Full time

Medical Biller - Remote 8AM - 5PM EST Time Zone

Your job would involve:


• Primarily remote work with meeting in person on a necessary basis


• Verify coverage and eligibility for medical services


• Communicate with insurance providers and patients


• Review patient bills and correct any missing or inaccurate information


• Use a billing software to prepare and transmit claims


• Clear up balance discrepancies


• Investigate and appeal claims that were denied


• Complete data entry to update spreadsheets and reports


• Work with patients to set up payment plans


• Adapt to updates and changes in billing software


• Process denial management for claims rejected by the Insurance companies


• Create and maintain licensing, credentials and insurance records


• Conduct research on updated state and federal regulations and policies


• Release information to requesting agencies and public inquiries when required by law


• Help develop internal credentialing processes


• Monitor license and credential expiration dates and advise staff members of required "renew by" dates


• Ensure the facility and staff members are maintaining compliance with regulatory and accrediting institutions

What You Should Have:


• Proficiency with computers and medical billing software


• Knowledge of unfair debt collection practices and insurance guidelines


• Understanding of primary code classifications: ICD-10-CM, ICD-10-PCS, CPT and HCPCS


• Communication skills with patients/healthcare companies


• Basic accounting and bookkeeping practices


• Bachelor's or Associate's degree preferred


• Minimum of 5 years of healthcare billing and credentialling experience


• Passion for healthcare and technology


• Exceptional written and verbal communication skills


• High degree of professionalism


• Strong customer relationship management skills


• Ability to foster strong, positive relationships


• Proven ability to set goals and meet deadlines


• Understanding of healthcare billings and credentialling industry


• Certified Provider Credentialing Specialist (CPCS) certifications – Is a plus