CertiTemp
  • 19-Nov-2020 to Until Filled (EST)
  • Macon
  • Macon, GA, USA
  • 14.00
  • Hourly
  • Full Time

Medical, Dental, Vision, Life, 401k


Responsibilities:

Review medical procedures as documented by physicians. Translate medical procedures into codes that can be translated by payers, other medical coders, and various medical facilities. Transmit coded patient treatment information to payers and other recipients. Coordinate insurance reimbursement of care providers. Handle patient billing.

Job Duties for Medical Biller:

  • Obtain referrals and pre-authorizations as required for procedures.
  • Check eligibility and benefit verification.
  • Review patient bills for accuracy and completeness and obtain any missing information
  • Prepare, review, and transmit claims using billing software, including electronic and paper claim processing.
  • Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid
  • Follow up on unpaid claims within standard billing cycle timeframe
  • Check each insurance payment for accuracy and compliance with contract discount
  • Call insurance companies regarding any discrepancy in payments if necessary
  • Identify and bill secondary or tertiary insurances
  • All accounts are to be reviewed for insurance or patient follow-up
  • Research and appeal denied claims.
  • Answer all patient or insurance telephone inquiries pertaining to assigned accounts.
  • Set up patient payment plans and work collection accounts
  • Update billing software with rate changes.
  • Updates cash spreadsheet, runs collection reports.

Knowledge, Skills, and Abilities:

  • Knowledge of HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
  • Use of computer systems, software, 10 key calculator
  • Effective communication abilities for phone contacts with insurance payers to resolve issues.
  • Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds.
  • Able to work in a team environment.
  • Problem-solving skills to research and resolve discrepancies, denials, appeals, collections.
  • Knowledge of accounting and bookkeeping procedures.
  • Knowledge of medical terminology likely to be encountered in medical claims.
CertiTemp
  • Apply Now

  • * Fields Are Required

    What is your full name?

    How can we contact you?

  • Sign Up For Job Alerts!

  • Share This Page
.