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Developmental Pathways is seeking an experienced Medical Biller with experience in ABA services to work in our administrative office. The ideal candidate will have a strong background in medical billing, with the skills necessary to improve our current billing procedures and reduce A/R days. The successful applicant will work on a number of tasks requiring data analysis, in-depth evaluation and exercising judgement within the appropriate scope of practice. We offer excellent benefits, generous paid time off and competitive compensation.
Responsibilities:
· Audits and corrects all claims on UB04 and/or CMS 1500 format.
· Review all EOB’s received in the mail that require attention.
· Complete data entry of all patient demographics, guarantor, and insurance information.
· Post procedures and insurance.
· Manage relationships with various Insurance payers.
· Call insurance companies to resolve billing issues.
· Call for Verification of Benefits.
· File claims to ensure maximum entitled reimbursement.
· Follow orders of detailed work activity.
· Ensure all claims are submitted with a goal of zero errors.
· Verify completeness and accuracy of all claims prior to submission.
· Meet all deadlines given.
· Read and interpret insurance explanation of benefits.
· Respond to inquiries from insurance companies, patients, and providers.
· Regularly meet with Financial Manager to discuss and resolve reimbursement issues or billing obstacles.
· Attend monthly staff meetings and continuing educational sessions as requested.
· Perform additional duties as requested by Director or Management team.
· Obtaining referrals and pre-authorizations as required for procedures.
· Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.
· Following up on unpaid claims within standard billing cycle timeframe.
· Checking each insurance payment for accuracy and compliance with contract discount.
· Calling insurance companies regarding any discrepancy in payments if necessary
· Identifying and billing secondary or tertiary insurances.
· Researching and appealing denied claims.
· Setting up patient payment plans and work collection accounts.
· Updating billing software with rate changes.
· Updating cash spreadsheets and running collection reports.
Qualifications:
· High School Diploma/GED required.
· Minimum 2 years’ experience as a Medical Biller.
· Experience in ABA service codes required.
· Experience with NPA codemetro and Office Ally.
· Proficiency with electronic medical records (EMR)
· Strong knowledge of MS Access
· Ability to work independently and collaboratively within a team environment
· Able to multi-task and meet tight deadlines
· Excellent problem-solving skills
License:
· Driver's License (Required)
Typical start time:
· 9AM
Typical end time:
· 6PM
Pay Frequency:
· Bi weekly or Twice monthly
Pay:
· Hourly: $18 to $23 (upon knowledge and experience)
Schedule:
· Monday to Friday
· Day shift
Company's website:
· www.dpica.com
Work Remotely:
· No
Full Time
$51k-67k (estimate)
02/02/2024
06/02/2024
developmnetalpathways.org
Englewood, CO
<25
The job skills required for Billing Specialist include Billing, Medical Billing, Problem Solving, Data Entry, etc. Having related job skills and expertise will give you an advantage when applying to be a Billing Specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Billing Specialist. Select any job title you are interested in and start to search job requirements.
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