Medical Biller

4 weeks ago

India Skuad: A Payoneer Company Full time
Medical Biller - Remote 8 AM - 5 PM 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

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