What are the responsibilities and job description for the Medical Biller position at Symbiosis?
About Symbiosis
To fix what’s wrong in healthcare, think outside the hospital.
If you’re tired of the status quo within the healthcare system, then you’ve found a team of like-minded, colleagues.
Symbiosis has reimagined out-of-hospital services that encompass urgent care, ambulance transport, event safety, and telemedicine services in one integrated approach. Within this practice, we provide fully equipped and professionally staffed basic life support, advanced life support, and critical care transport ambulances. From EMTs to paramedics to EMS dispatchers – we pride ourselves on the trained, responsive and compassionate professionals who comprise our team.
We are currently seeking a detail-oriented and organized Medical Biller to join our team at our corporate office in Redlands. The primary responsibility of this role will be to assist the billing department in processing, submitting and appealing complaint claims in order to secure reimbursement for services.
This is a full-time, entry-level position.
Responsibilities:
- Insurance eligibility verification and payer assignment
- Obtain authorizations and retro authorizations for non-emergency claims when required by the plan.
- Call patients for insurance information, copays, deductibles, coinsurance denied balances, when appropriate. * Incoming and outbound calls.
- Set up payment plans and enforce Hardship Policy, when applicable. * Work correspondence (both paper and electronic). Correct and rebill claims, as needed to secure payment.
- Post payments and denials.
- Work F/U tasks in billing system - reset for 30 days once f/u has been completed.
- Work AR reports for claims status, f/u on unpaid claims by calling or using website, verify claims mailing address or electronic submitter ID#.
- Appeal denied claims with supporting documentation and proof of timely filing when services are denied in error.
- Follow up on appeals status 30 to 45 days after submission.
- Faxing, filing and scanning, printing and pulling PCRs, PCS forms and other correspondence.
- Printing EOBs for secondary claims submission.
- Obtain valid PCS for non-emergency treatment of Medicare/Medicaid patients.
- Fax and mail ADRs (additional documentation request) for Medicare claims upon request.
- Review Mail Returns, establish a current address for the patient or insurance and update the system accordingly.
- Immediately report any and all adverse findings to the direct manager to ensure timely and effective resolution.
- Performs other duties as required.
Qualifications:
- High school diploma or equivalent; certification in Health Information Management is preferred.
- Previous experience as a medical records clerk or in a related role.
- Proficiency in medical terminology and understanding of HIPAA regulations.
- Proficient in Word, Excel, converting files to PDF, faxing, filing, scanning and attaching documents.
- Strong organizational and multitasking skills, with the ability to perform well in a fast-paced environment.
- Exceptional attention to detail.
- Excellent communication skills.
If you believe you are a match for our growing company, we welcome your application. If you meet the requirements, we will contact you directly. We look forward to speaking with you!
Job Type: Full-time
Pay: From $23.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Experience:
- Claim status inquiries: 1 year (Required)
- claim corrections and appeals: 1 year (Required)
Work Location: In person
Salary : $23