What are the responsibilities and job description for the Medical Claims Coordinator / Medical Biller position at Azaaki LLC?
Medical Claims Coordinator / Medical Biller
Location: Paramus, NJ 07652 (Hybrid – 2 days onsite per week)
Duration: 6 Months with possible extension
Work Hours: 9:00 AM – 5:00 PM
GENERAL FUNCTION
The Medical Claims Biller is responsible for monitoring insurance carrier adjudication of TeamVision medical claims for one or more doctor practices. Utilize a practice electronic health records (EHR) system and clearing house to review and submit claims to multiple medical insurance carriers. Review open/unpaid claim balances and take required action.
MAJOR DUTIES & RESPONSIBILITIES
- Review medical claims and transmit to the insurance carrier using the practice EHR system and clearing house
- Monitor rejected claim reports and adjust claims for resubmission
- Download insurance carrier Explanation of Payments (EOPs) to post claim payments and denials in the EHR system
- Determine if denied claims can be corrected and re-submitted
- Review aging reports to research open balances and resubmit within insurance carrier filing limits
- Utilize insurance carrier websites and contact carriers to investigate denials and claim status
- Partner with the clearing house to distribute patient billing statements
- Monitor the patient portal to post payments in the EHR system
- Initiate overpayment refunds to patients and repayments to insurance carriers
- Serve as the primary point of contact for the practice regarding all vision and medical claims
- Support the corporate manager in maximizing claim collection rate
BASIC QUALIFICATIONS
- High school diploma
- 3 years of related work experience
- Experience with medical billing and coding
- Ability to prioritize handling of issues
- Strong organizational skills and multitasking ability
- Effective communication skills (verbal, written, listening, presentation)
PREFERRED QUALIFICATIONS
- Experience working in multiple doctor practices
- Experience with multiple insurance carriers and understanding of claim requirements
- Proven problem-solving and issue resolution skills
Job Types: Full-time, Contract
Pay: $18.00 - $21.00 per hour
Expected hours: 40 per week
Work Location: Hybrid remote in Paramus, NJ 07652
Salary : $18 - $21