Medloop a large multi-specialty medical billing company servicing many clients across the US mostly in NY/NJ is looking for a talented and highly motivated Medical Billing A/R Follow-up Representative to resolve billing issues and work directly with clients to identify and manage efficient billing processes for optimal A/R outcomes. They also manage a broad array of projects in relation to claims resolution, payer tracking, website access, claims status inquiries, and direct carrier contact.

RESPONSIBILITIES:

• Serve as a liaison between patient, insurer, and practice

• Follow-up on patient accounts to assure claims for patient charges submitted to insurance companies are paid in a timely fashion

• Initiates prior authorization for all procedures requested by staff, providers, and or insurers.

• Prioritize and organizes all prior authorization activities

• Documents all prior authorization activities and record activity

• Excellent communication and organizational skills with a customer service focus

• Ability to read and understand EOB’s and ERA files

• Processing appeals

• Analyze and research denials

• Knowledge of CPT and ICD10 coding requirements

• Previous experience in a medical industry Is required

• Understanding of refunds/take-backs

• Knowledge of medical terminology

• Must have the ability to maintain confidential information

• Must have the ability to multitask and take initiative

• Must be able to identify and communicate billing inconsistencies

REQUIRED MINIMUM QUALIFICATIONS:

• High school diploma, or equivalent

• 2 years of medical billing experience, or medical billing training, or other experience in a healthcare setting

PREFERRED ADDITIONAL QUALIFICATIONS (not required):

• Working knowledge of Medicare, Medicaid, and Commercial payor claims and appeals processing requirements

• Familiar with writing appeals with successful outcomes

• General knowledge of ICD-10, CPT-4, and HCPC coding and CCI edits

• Ability to prioritize effectively and handle shifting priorities

• Self-starter with the ability to organize work for maximum efficiency and attention to quality

• Health Insurance
• 401K
• Great PTO Package

Job Type: Full-time (In the office - Not Remote)

Pay: $22-$26 per hour