Medical Biller - Orthopedics and Pain Management

Role/Position Definition: Experienced orthopedics biller with a focus on A/R Follow-up. Responsible for maintaining accounts receivables. Process claims daily, submit all primary, secondary and tertiary claims electronically. Collects unbilled claim edits. Understands and abides by billing compliant regulations.

Qualifications/Position Requirements:

· High School Diploma required.

· One to two years’ experience of revenue cycle management or billing experience in the healthcare field.

· Knowledge of Medicaid/Managed Care Organization (MCO) billing practices, and other insurance websites.

· Experience with billing in an Electronic Data Interchange/3rd party clearinghouse environment.

· Intermediate to advanced computer skills, including the use of Microsoft Office applications.

Duties and Responsibilities:

· Submits claims to payors in accordance with payor requirements and agency policy.

· Receives notices of claim rejections and denials.

· Properly track and resolve issues to ensure claim payment.

· Maintains complete and accurate accounts receivable records.

· Performs troubleshooting for billing error codes.

· Alerts the Manager regarding late or missing documents required for billing.

· Assists with the collection of receivables by monitoring accounts receivables, resubmitting bills to overdue accounts, and alerting the Manager regarding seriously overdue accounts.

· Produces reports as needed.

· Performs administrative duties such as sorting, scanning, filing, and emailing records.

· Address denials and determine next steps.

· Follow up on unpaid claims prior to filing deadlines.

· Re-bill or submit corrected claims.

· Monitor provider newsletter and communications for changes impacting claims payment.

· Prepare insurance refunds.

· Request off-sets and take-backs for overpayments.

· Performs all other duties as assigned.

Job Type: Full-time

Pay: $18.00 - $20.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee discount
• Health insurance
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Work Location: Hybrid remote in Warren, MI 48093

Salary : $18 - $20