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Medical Biller - Accounts Receivable
Ref No.: 17-05054
Location: Hunt Valley, Maryland
Position Type:Contract

Medical Biller - Accounts Receivable
Hunt Valley, Maryland

MUST:

Experienced Medical Biller - Accounts Receivable
1 plus years of professional experience in the healthcare field

EMR experience is a must
Working knowledge of Medicare, Medicaid, BC/BS, Workers Compensation and commercial insurance carriers billing regulations.
Have Strong Accounts Receivable experience

Knowledge of insurance carrier payment policies, practices, and amounts
Highly self-motivated and directed
Ability to effectively prioritize and execute tasks while under pressure
Experience working in a team-oriented, collaborative environment
Very strong written and verbal communication skills
Basic computer operating skills, including Microsoft Word, Excel, and Outlook;
Knowledge of Medicare and Medicaid Billing Guidelines
Knowledge of claims processing/posting
Working knowledge of CPT and ICD-10 coding systems; dermatology coding certification preferred
Ability to read and understand Explanation of Benefits (EOB's)
Problem solver and able to troubleshoot independently with little supervision.
Excellent customer service skills

DUTIES:

The Accounts Receivable (A/R) Specialist is engaged in the tracking of claims through the billing process, to identify problem areas, and to determine a course of action to resolve aging claims.
Follow up on outstanding payers' A/R (Accounts Receivable) based on A/R report in accordance with timely filing limits.
Contact insurance companies by phone, email, fax, and written correspondence to resolve issues preventing claims from being processed correctly, including verifying benefits and eligibility dates.
Working various denials from insurances including coverage in question, medical necessity, bundling, non-covered procedures, incorrect coding, credentialing, etc.
Communicate with coding staff to verify claims have been coded correctly and appeal claims that have been paid incorrectly.
Follow up on accounts when no response from the insurance carriers has been received.
Gather information regarding other pending claims on account and check status of claims utilizing the websites for various insurance companies.
Research, identify, and rectify any special circumstances or denial trends affecting resolution of patient account and provide the finds to the practice manager.
Identify and create batches for necessary billing adjustments.
Participate in monthly billing meetings.
Review statements and communicate the specific manner in which the claim processed with patients.
Perform other duties as directed by manager.

Quadrant, Inc. is an equal opportunity and affirmative action employer. Quadrant is committed to administering all employment and personnel actions on the basis of merit and free of discrimination based on race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or status as an individual with a disability. Consistent with this commitment, we are dedicated to the employment and advancement of qualified minorities, women, individuals with disabilities, protected veterans, persons of all ethnic backgrounds and religions according to their abilities.