Job Title: Medical Biller

Company: Nevada Critical Care Consultants

Location: Nevada, United States

Job Description:

We are currently seeking a detail-oriented and experienced Medical Follow-Up Biller to join our dynamic team at Nevada Critical Care Consultants. The ideal candidate will have a strong background in medical billing and coding, with a focus on follow-up procedures to ensure accurate and timely reimbursement for services rendered.

Responsibilities:

• Claims Management: Process and submit medical claims to insurance companies and other payers promptly and accurately.
• Follow-Up Procedures: Conduct thorough follow-up on outstanding claims, including denials, underpayments, and appeals, to ensure maximum reimbursement for services provided.
• Insurance Verification: Verify patient insurance coverage and eligibility, ensuring accurate billing information is used for claims submission.
• Coding Accuracy: Review medical records and documentation to ensure proper coding of diagnoses and procedures, adhering to current coding guidelines and regulations.
• Payment Posting: Record and reconcile payments received from insurance companies and patients, applying them to the appropriate accounts in the billing system.
• AR Management: Monitor accounts receivable aging reports, identifying and resolving issues that may impact timely reimbursement.
• Communication: Collaborate with healthcare providers, patients, and insurance companies to resolve billing discrepancies and inquiries in a professional and timely manner.
• Compliance: Stay up-to-date on industry regulations and compliance standards related to medical billing and coding, ensuring adherence to all legal requirements.

Requirements:

• Experience: Minimum of 8 years of experience in medical billing and follow-up procedures, preferably in a critical care or healthcare setting.
• Certification: Certification in medical billing and coding (e.g., CPC, CCS-P) preferred but not required.
• Knowledge: Proficient understanding of medical terminology, ICD-10, CPT, and HCPCS coding systems.
• Software Skills: Familiarity with electronic health record (EHR) systems and medical billing software (e.g., Epic, Meditech, NextGen).
• Attention to Detail: Strong attention to detail and accuracy, with the ability to review complex medical documentation and identify billing discrepancies.
• Communication: Excellent communication and interpersonal skills, with the ability to effectively interact with healthcare professionals, patients, and insurance representatives.
• Problem-Solving: Strong problem-solving and critical thinking skills, with the ability to independently research and resolve billing issues.
• Adaptability: Ability to work efficiently in a fast-paced environment, managing multiple priorities and deadlines effectively.

Benefits:

• Comprehensive benefits package including health, dental, and vision insurance.
• Retirement savings plan (401k) with employer matching.
• Paid time off and holiday pay.
• Opportunities for professional development and career advancement within the organization.

How to Apply:

If you meet the qualifications and are interested in joining our team as a Medical Follow-Up Biller at Nevada Critical Care Consultants, please submit your resume and cover letter outlining your relevant experience and why you would be a great fit for the role. We look forward to hearing from you!

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Vision insurance

Schedule:

• Day shift
• Monday to Friday

Work setting:

• Office

Work Location: In person