Overview
Schedule
Full-time
Career level
Senior-level
Remote
On-site
Benefits
Health Insurance
Vision Insurance
Job Description
The Medical Claims Biller is responsible for monitoring insurance carrier adjudication of medical claims for one or more doctor practices. Utilize a practice EHR system and clearing house to review and submit claims to multiple medical insurance carriers. Review open/unpaid claim balances and take required action.
BASIC QUALIFICATIONS
- High school diploma
- 3+ years of related work experience
- Experience with medical billing and coding
- Ability to prioritize handling of issues
- Organization skills and ability to multitask
- Effective communication skills (verbal, written, listening, presentation)
- Experience working in multiple doctor practices
- Experience working with multiple insurance carriers and an understanding of their claim requirements
- Proven ability to identify issues and solve problems
MAJOR DUTIES & RESPONSIBILITIES
- Review medical claims and transmit to the insurance carrier using the practice electronic health records (EHR) system and clearing house.
- Monitor rejected claim reports and adjust claims for resubmission to the insurance carrier.
- Download insurance carrier explanation of payments (EOPs) to post claim payments and denials in the EHR system.
- Determine if denied claims can be corrected and re-submitted to the carrier.
- Review aging reports to research open balances and resubmit within insurance carrier filing limits.
- Utilize insurance carrier websites and contact carriers as needed to investigate denials and claim status.
- Partner with the clearing house to distribute patient billing statements and monitor the patient portal to post payments in the EHR system.
- Initiate overpayment refunds to patients and repayments to insurance carriers when required.
- Serve as the point of contact for the practice regarding all vision and medical claims.
- Support the corporate manager in maximizing claim collection rate.
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FAQs About Medical Claims Biller Onsite Jobs at Globalchannelmanagement
What is the work location for this position at Globalchannelmanagement?
This job at Globalchannelmanagement is located in Mason, Ohio, according to the details provided by the employer. Some roles may also include multiple work locations depending on the requirement.
What pay range can candidates expect for this role at Globalchannelmanagement?
Employer has not shared pay details for this role.
What employment applies to this position at Globalchannelmanagement?
Globalchannelmanagement lists this role as a Full-time position.
What experience level is required for this role at Globalchannelmanagement?
Globalchannelmanagement is looking for a candidate with "Senior-level" experience level.
What benefits are offered by Globalchannelmanagement for this role?
Globalchannelmanagement offers following benefits: Health Insurance and Vision Insurance for this position. Actual benefits may vary depending on the employer's policies and employment terms.
What is the process to apply for this position at Globalchannelmanagement?
You can apply for this role at Globalchannelmanagement either through Sonara's automated application system, which helps you submit applications 10X faster with minimal effort, or by applying manually using the direct link on the job page.