Medical Billing Representative ( 3 YRS EXP REQ)

Overview
We are seeking in office, detail-oriented, organized Medical Biller to function in various supporting roles at our Medical Billing Company. The position requires candidates who has a strong understanding of medical billing functions within the revenue cycle management process including but not limited to helping patients understand their bill, speaking with healthcare insurance vendors to manage denials, coding and terminology, review claims prior to submission for accuracy, etc. These roles are critical to ensuring accurate billing and collections for medical services, while also maintaining compliance with healthcare regulations. The representative will work closely with the departments manager, PGM supervisor, office staff, client contacts, patients, and insurance companies to facilitate the billing process.

Responsibilities

• Manage billing for multiple client accounts.
• Answer incoming calls from patients regarding their bills.
• Collaborate with medical staff to resolve discrepancies in billing, including but not limited to: daily communication, share denial trends, and request information to submit claims missing data points or to request information after denial is received.
• Review client's coding and make recommendation based off LCD or payer policies, both to client and PGM internal staff managing claims submissions
• Understand how to process claims, update claims, and make any necessary corrections from the billing system and clearinghouse portal.
• Review and verify patient information for accuracy.
• Manage accounts receivable and follow up on outstanding balances.
• Maintain up-to-date knowledge of medical terminology and coding standards.
• Utilize practice management system to track payments and outstanding claims.

Requirements

• Strong attention to detail and organizational skills.
• Excellent communication skills for interacting with patients, providers, and insurance companies.
• Minimum of 3 years experience proven experience in medical billing
• Knowledge of medical coding (ICD-9, ICD-10) and DRG (Diagnosis Related Group) systems.
• Understand how to read and EOB to help patient understand their bills when calling our office, while also taking payment information if patient calls to pay their bill.
• Strong insurance company follow-up skills.
• Familiarity with medical records management and terminology.
• Ability to work independently as well as part of a team in a fast-paced environment.
• Proficiency in using medical billing software and systems is an advantage.

Join our dedicated team where your expertise will contribute to the efficient operation of our medical office while ensuring that patients receive the best possible care.

Pay: $20.00 - $23.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Flexible schedule
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Ability to Commute:

• Lyndhurst, NJ 07071 (Required)

Ability to Relocate:

• Lyndhurst, NJ 07071: Relocate before starting work (Required)

Work Location: In person

Salary : $20 - $23