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A leading provider in business and technology services is seeking a Medical Biller in Catonsville, MD. The role entails managing accounts receivable processes, including billing, collections, and coordination with insurance providers. Candidates should have at least 2 years of related experience in healthcare billing and understanding of claims processing. This on-site position offers competitive pay and benefits, aiming to support effective revenue cycle management.
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TekSystems is currently hiring for a Medical AR Follow up Biller and a Medical Payment Poster position in the Catonsville area!
MUST HAVE: 2 years of medical billing/AR follow up experience, OR medical payment posting experience!
Description
Responsible for performing research, correction, and updates within the accounts receivable management systems toward the purpose of billing for and receipt of compensation on services provided in the course of resident care. Completion of account management functions such as billing, collection, reimbursement calculation, cash posting and reconciliation on assigned inventory are basic functions required for this position.
Operational
Responsible for the accurate pre-billing review, billing, follow up, and cash posting of charges within their assigned functional area.
Admissions and Census review
Triple Check Claim Validation
Billing for all business lines
3 rd Party Follow Up
Private Pay Follow Up
Cash and Denials posting
Credit Balance and Refund resolution
Resident Final Billing
Customer Service-A/R Help Desk
Month-end Close
Translates internal charge files to appropriate billing formats for electronic and manual claims submission to third party and private payers.
Performs follow-up and collections of accounts with outstanding balances. Adheres to department guidance on account documentation notes structure and content to provide all stakeholders with actions taken and next steps for accounts receivable management.
Initiates appeals, corrected claims submissions, or submits medical records in response to payer requests for information or denied claims.
Post contractual allowances, write-offs and payments against appropriate claim/line item using the Explanation of Benefits (EOB) or Remittance Advice.
Post rejection and denial transaction codes and descriptions using the Explanation of Benefits (EOB) or Remittance Advice.
Researches misapplied cash and credit balances utilizing appropriate payment and write-off codes.
Additional Skills & Qualifications
At least one of the following is required:
Minimum two (2) years healthcare accounts receivable experience in billing, collections, cash posting or other healthcare revenue cycle related experience.
Graduation from an accredited two-year college with major coursework in Accounting, Finance, Business Administration, Healthcare Finance/Administration or related field of study IS PREFERRED
Current Certified Revenue Cycle Specialist (CRCS-I) from the American Association of Healthcare Administrative Management (AAHAM) is preferred.
knowledge of billing, collections, and cash posting processes in a health care provider environment.
Medicare, Medicaid and Managed Care experience a plus.
Experience working with CPT and ICD-10.
Knowledge of medical terminology.
Knowledge of Federal, State and third party electronic claims submission, denials and reimbursement practices.
Experience working with CMS1500 and UB04 claim forms.
Knowledge of Vision or other medical practice management systems.
Proficient knowledge of Microsoft Office including Excel, Word and Outlook.
High School Diploma or equivalent is required.
Pay And Benefits
The pay range for this position is $22.00 - $25.00/hr.
Eligibility requirements apply to some benefits and may depend on your job
classification and length of employment. Benefits are subject to change and may be
subject to specific elections, plan, or program terms. If eligible, the benefits
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