Potential Inc's Medical Biller will process electronic and paper claims with precision, ensuring accuracy and timeliness in billing to primary and secondary insurance. Seamlessly posting payments and navigating denied claims to resolution, this role requires close attention to detail to ensure compliance with all laws and regulations. This role extends to obtaining and entering authorizations, credentialing providers, and estimating cost of service to guarantee billable services, making our Medical Biller a crucial part of the company's healthcare revenue cycle.

WHY POTENTIAL?

Potential is a non-profit Autism service organization that works passionately to make meaningful changes in the lives of our clients. Rooted in the belief that every individual with Autism has the potential for a fulfilling life, we employ evidence-based treatments and a committed support network to help children and adults gain the skills they need to learn and succeed. Joining us means becoming part of a team that values and practices respect, compassion, teamwork, and integrity. We offer the perks of a big business with the close-knit feel of a small company. Our team appreciates the values we uphold, collaborations fostered, and opportunities for professional and personal growth. Join us!

We offer the benefits of a big business with the feel of a small company. Benefits include paid time off and paid holidays, medical package (health/dental/vision), basic and voluntary life insurance, short- and long-term disability, AFLAC, pet insurance, employee assistance program, and 403b retirement savings plan.

Job Requirements

• A high school diploma
  • Associate's or Bachelor's degree in business, business administration, accounting, or healthcare preferred
  • Certification in professional billing is a plus
• Knowledge of insurance guidelines, including HMO/PPO, Medicare, Medicaid, and other payer requirements
• Knowledge of medical terminology likely to be encountered in medical claims
• Familiarity with the Central Reach system and proficiency in CPT and ICD-10 Coding
• An understanding of accounting and bookkeeping procedures
• Ability to maintain patient confidentiality as per HIPAA regulations

Potential believes that all people are entitled to equal employment opportunities. We follow state and federal laws prohibiting discrimination in hiring and employment.

We do not discriminate against employees or applicants on the basis of race, age, religion, gender, or any other characteristic protected by state or federal law.