Job Summary:
We are seeking a skilled and detail-oriented Medical Biller to join our team. As a Medical Biller, you will be responsible for accurately coding and billing medical claims, ensuring timely reimbursement from insurance companies. This position is also responsible for provider credentialing and enrollments with all payers. Your expertise in medical terminology, coding, and billing procedures will be essential in maintaining accurate patient records and maximizing revenue for our healthcare facility.

Duties:
● Verify patient eligibility and insurance benefits
● Submit and manage pre-authorizations for treatment when applicable
● Verify completeness and accuracy of all claims and charges prior to submission
● Ensure the timely submission of all claims
● Manage claim rejections and denials
● Utilize aging accounts receivable reports to follow up on unpaid claims
● Post payments to patient accounts
● Send patient statements monthly including any past due notices
● Create and manage patient payment plans
● Make necessary arrangements for medical records requests, completion of additional information requests, etc. as requested by insurance companies
● Respond to inquiries from insurance companies, patients and providers
● Regularly meet with other members of management to discuss and resolve reimbursement obstacles
● Utilize denial reports to identify trends and reduce rate of denied claims
● Identify and update billing processes in collaboration with management to improve efficiency and accuracy
● Stay up to date and knowledgeable with billing and coding requirements applicable to services billed at the private practice.
● Perform additional duties as needs arise and as requested by the Management team
● Verify provider credentials and licenses and ensure enrollments are submitted and up to date in the billing system and with all payers
● Manage group credentialing information in CAQH and other applicable third parties
● Assist with office duties as needed

Experience:
●Previous experience as a Medical Biller or in a similar role
● Proficiency in medical terminology, coding, and billing procedures
● Familiarity with ICD-10 coding system and DRG classification
●Knowledge of insurance guidelines and reimbursement processes
● Strong attention to detail and accuracy in data entry
●Excellent communication skills, both written and verbal
●Ability to work independently and meet deadlines

Job Type: Full-time

Pay: From $25.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Work setting:

• Private practice

Ability to Relocate:

• Fargo, ND: Relocate before starting work (Required)

Work Location: In person