Medical Claims Coordinator/Processor (Remote)

Remote Job Opportunity  JOB DESCRIPTION: 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 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 electronic health records (EHR) system and clearing house. • Monitor rejected claim reports and adjust claims for resubmission to the insurance carrier. • 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 to the carrier. • Review aging reports to research open balances and resubmit within insurance carrier filing limits. • Utilize insurance carrier websites and contact carriers as needed to investigate denials and claim status. • Partner with the clearing house to distribute patient billing statements and monitor the patient portal to post payments in the EHR system. • Initiate overpayment refunds to patients and repayments to insurance carriers when required. • Serve as the 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 • Organization skills and ability to multitask • Effective communication skills (verbal, written, listening, presentation) PREFERRED QUALIFICATIONS • Experience working in multiple doctor practices • Experience working with multiple insurance carriers and an understanding of their claim requirements • Proven ability to identify issues and solve problems