Medical Biller

Please note that applicants must be located in Alaska to be eligible for an interview for this position.

Summary of Job Functions:

The Medical Biller at The Arc of Anchorage ensures accurate and timely medical billing processes. This position involves reviewing claims, assigning appropriate CPT and ICD-10 codes, preparing and submitting claims, and reconciling payments using The Arc of Anchorage’s electronic medical record system. Minimum of 2 years of experience in medical billing, with specific expertise in Medicaid billing.

Essential Job Functions:

•          Review Claims:
  • Thoroughly review claims for accuracy and completeness
  • Obtain any missing information necessary for successful billing.

• Claim Preparation and Submission:

  • Prepare, review, and transmit claims using billing software.
  • Follow up on unpaid claims within standard billing cycle timeframes.

• Payment Accuracy:

  • Check insurance payments for accuracy.
  • Contact insurance companies to address discrepancies in payments when necessary.

• Secondary and Tertiary Insurances:

  • Identify and bill secondary or tertiary insurance as applicable.

  Denial Management:

  • Monitor and analyze claim denials, rejections, and underpayments.
  • Investigate and resolve billing discrepancies and claim issues.
  • Resubmit corrected claims and follow up on appeals to ensure timely resolution.

• Compliance and Documentation:

  • Maintain thorough knowledge of state and federal Medicaid billing regulations.
  • Ensure compliance with HIPAA and other relevant patient confidentiality regulations.
  • Document all billing activities, communications, and claim statuses in the billing software system.

• Coding Expertise:

  • Assign ICD-10 and CPT codes to claims.

  Service Authorization Support:

  • Assist in service authorization requests for behavioral health services 

  Continuous Improvement:

  • Stay informed on updates to Medicaid policies, billing procedures, and industry best practices.
  • Participate in training sessions and professional development opportunities.

Knowledge, Skills, and Abilities:

• Knowledge of CPT and ICD-10 coding  
• Knowledge and understanding of billing procedures.
• Knowledge and understanding of HIPAA rules and regulations.
• Able to understand and explain EOBs.
• Knowledge of primary and secondary coordination of benefits
• Able to work in an integrated team. 
• Knowledge of general billing processes and procedures required to resolve claims for payment.
• Intermediate understanding of Microsoft 365 applications

Education and Experience:

• High School Diploma or GED: Required.
• Minimum of 2 years of experience in medical billing, with specific experience in Medicaid billing
• Proven track record of handling claims, denials, and appeals successfully.
• Behavioral Health Billing Experience or Healthcare Reimbursement Education: Preferred.

Required Licenses, Clearances & Training:  

• Background checks as defined by licensing agencies.
• Current TB test/clearance
• Valid driver’s license and proof of insurance
• Pass mandatory agency training (i.e., CPR, Mandt, Programs). 

Physical Requirements:

• Sitting in a normal seated position for extended periods
• Finger dexterity is required to manipulate objects with fingers rather than whole hands (s) or arms.
• Communication skills using the spoken word.
• Hearing within normal range
• Seeing - within normal parameters 

Equipment Used:

• Computer (Intermediate Level)
• Appropriate Office Equipment
• Ability to see within normal parameters.
• Ability to hear within normal range.

                           The Arc of Anchorage is an Equal Employment Opportunity Employer