[Hiring] Medical Biller REMOTE
Position: Medical Biller
Date posted: 2024-10-20
Industry: Other
Employment type: Full Time
Experience: 2 to 3 year
Qualification: Bachelor’s Degree holder
Salary: $20-23/hr
Location: Fresno, CA, United States, REMOTE
Company: TEKsystems
Description:
Medical Biller required
About the job
Urgent Hire! – 100% Remote – Medical Biller
Work Enviroment: 100% Remote
Pay: $20-23/hr (based on experience)
Job Description
The Accounts Receivable Representative is responsible for the follow-up on identified government and non-government claims including Medicare /Medicaid and Government HMO. The incumbent will resolve unpaid accounts in a timely and efficient manner for one or more geographical areas, while maintaining quality and productivity standards set for the Level 1 A/R Follow-up Representative.
Responsibilities
- Review eligibility, verify insurance benefits, and/or perform insurance discovery activities required to generate a clean claim.
- Review, modify as necessary, and re-bill rejected/denied claims in “queue” by assigning appropriate insurance carrier, utilizing the billing address and/or payor prefix.
- Process “queues” within appropriate timeframes, (e.g. claims status checks, appeals of denied claims).
- Recode claims, assigning proper condition codes/ICD-9 codes/procedure codes into the Accounts Receivable Billing System and re-file claims as necessary.
- Update appropriate modifiers, based on origin and destination of trip and change insurance claims as necessary.
- Create narrative in the Accounts Receivable Billing System to document status of trip for use in claim appeal process.
Other duties as assigned.
- Work in a spirit of teamwork and cooperation.
- Convey a sense of competence and commitment.
- Use initiative to learn new skills, enhance personal knowledge and improve communications.
- Demonstrate an ability to work well with team members.
- Communicate a willingness to help others succeed.
- Share workspace and resources as necessary.
Top Skills Details / Must Haves
Medical billing, accounts receivable,medical insurance,insurance verification,eligibility verification,medicaid
Additional Skills & Qualifications
- High School Diploma or GED required, Associates Degree or certificate of completion from a coding and billing school preferred. Examples: Certifications
- Minimum two years previous medical billing experience required; Medicaid and ambulance billing experience preferred.
- Medical transportation processes.
- Terminology on a PCR, Hospital Face Sheet, and/or a CAD Sheet.
- Process of signature and paperwork compliance.
- Payor-specific requirements for one or more geographical areas and/or financial classes.
- Distinctions between ALS/BLS/SCT/Gurney/Wheelchair/CCT levels of service.
- ICD-9 coding/condition codes and procedure codes.
- Government coverage guidelines, filing limits and necessary prior authorizations.
- Medical terminology and insurance terminology.
- Internal Compliance guidelines.
- Appeal levels and the redetermination process.
HIPAA requirements.
- Proficient in the Accounts Receivable Billing System and Internet, (e.g. Internet mapping programs, eligibility websites, address search engines).
- Basic understanding of Microsoft Word and Excel.
- Communicate effectively, (both orally and in writing) in English.
Experience Level
Minimum 2 years previous medical billing experience required; Medicaid and ambulance billing experience preferred.
About TEKsystems
We’re partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That’s the power of true partnership. TEKsystems is an Allegis Group company.
