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 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

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