What are the responsibilities and job description for the Medical Biller position at Mosaic Health?
Job Description Summary
Responsible for managing patient billing and insurance claims.
How Will You Make An Impact & Requirements
Medical Biller
Responsible for reviewing account files to ensure accuracy and completeness, maximum reimbursement, and appeal denials.
Primary Duties May Include, But Are Not Limited To
Responsible for managing patient billing and insurance claims.
How Will You Make An Impact & Requirements
Medical Biller
Responsible for reviewing account files to ensure accuracy and completeness, maximum reimbursement, and appeal denials.
Primary Duties May Include, But Are Not Limited To
- Reviews patient account files.
- Prepares and reviews billings to be submitted to Fee for Service primary/secondary insurance carriers and/or Medicare/MediCal/Medicaid.
- Collects and decreases assigned Accounts Receivable focusing on high value accounts.
- Manages and maintains third party accounts. Responds to patient, insurance carrier and internal and external telephone inquiries.
- Completes all denial and correspondence daily.
- Prepares and submits refund requests to insurance carriers.
- Re-bills claims when not paid properly.
- Process refund requests.
- Requires a H.S. diploma or equivalent
- Minimum of 2 years of experience in billing and appeals process in Medicare/MediCal/Medicaid, including medical office experience; or any combination of education and experience, which would provide an equivalent background.
- ICD-9 and CPT-4 coding knowledge strongly preferred.
Salary : $21 - $31