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 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 EOBs 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

At Medloop we offer great opportunities with the potential for growth.

Benefits:

• Health Insurance
• 401K
• Great PTO Package

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

Pay: $22-$25 per hour