What are the responsibilities and job description for the Medical Biller position at KBC NURSING AGENCY & HOME HEALTH CARE, INC.?
Billing Specialist
KBC is looking for a professional Medicare, Medicaid, MCO Insurance and private pay biller. The biller will be responsible to bill, reconcile, post and resolve any billing issues. Biller submits billing claims and follows up with insurance companies to resolve any discrepancies on previous submissions. Biller must have an in depth knowledge of insurance claims processing procedures, Medicare and Medicaid rules. Biller must know rules, patient privacy law and rights, as well as familiarity with medical terminology, medical coding and medical web portals.
Duties and Responsibilities
- Bill all claims via designated insurance portals/clearinghouse and paper when needed.
- Employ client protocol on unclean claims
- Work denials, submit appeals on corrected claims, identifying any major issues with Team Lead
- Post payments
- Reconcile and submit weekly denial listing.
- Follow up on outstanding Accounts Receivable
- Review Eligibility as and when needed
- Updates Billing Financial Reports biweekly.
- Handle patient/Insurance Calls
- Collect co-pay/co-insurance and private pay if any
- Work with Clinical Department when requests are made by Insurance Companies
Essential Skills Required
- Familiarity with medical codes and billing terminology.
- Computer and telephone proficiency and knowledge of basic office equipment.
- Understanding of HIPAA and patient privacy laws and regulations.
- Good customer service skills.
- Ability to multi task
- Quick comprehension of processes and multiple insurance web-portals
Job Type: Full-time
Pay: $20.00 - $27.00 per hour
Benefits:
- 401(k)
- Health insurance
- Life insurance
- Paid time off
Application Question(s):
- Do you know how to post payments?
- How many years of full cycle billing do you have?
- How many years of experience do you have billing home health care Medicare claims?
- Do you know how to use and navigate the DDE black screen?
- Do you know how to submit NOAs to CMS?
- Will you be able to reliably commute to Washington, DC 20012 on a daily basis for this job?
- How many years of experience do you have billing home health care Medicaid claims?
- How many years of EDI experience do you have? And please name the software used?
- Do you know how to read an EOB?
- Do you have experience doing claim follow ups? Please explain/elaborate on your experience.
Experience:
- medical billing: 3 years (Required)
Work Location: In person
Salary : $20 - $27