Medical Biller
Germantown, MD Pay From: $23 per hour
MUST:
- Knowledge of word processing software and spreadsheet software
- Experience recording hours worked in payroll system
- Must have EMR and Clearinghouse experience
- Strong insurance verification experience
- Full cycle medical billing experience
DUTIES:
- Maintains responsibility for charge and payment entry within Electronic Health Record
- Coordinates and clarifies with providers, when necessary, on information that seems incomplete or is lacking for proper account/ claim adjudication
- Maintains responsibility for correcting, completing, and processing claims for all payer codes
- Analyzes and interprets that claims are accurately sent to insurance companies
- Performs follow up with Medicare, Medicaid, Medicaid Managed Care, and Commercial insurance companies on unpaid insurance accounts identified through aging reports
- Processes appeals online or via paper submission
- Assists in reconciling deposit and patient collections
- Assists with billing audit related information
- Processes refund requests
- Attends billing meetings/ workshops when needed
- Communicates with billing and credentialing coordinator to identify and resolve audit review issues
- Processes billing calls and questions from patients and third-party carriers
- Answers/responds to correspondence related to patient accounts
- Is available to answer billing and changes related inquiries by patients, staff, Managed Care Organization, etc
- Communicates daily with internal and external customers via phone calls and written communications
- Researches, records findings, and communicates effectively with Manager to achieve optimum performance
- Maintains patient confidence and protects medical office operations by keeping patient information confidential
- Contributes to team effort by accomplishing related results as needed
- Promotes effective working relations and work effectively as part of a team to facilitate the department's ability to meet its goals and objectives
- Demonstrates respect and regard for the dignity of all patients, families, visitors, and fellow employees to insure a professional, responsible and courteous environment
- Performs other duties as assigned to support MAPP Mission, Vision, and Values
- Produces and interprets EMR and Clearinghouse EBO reports
- Reconciles deposits and maintains deposit records
- Healthcare benefits are offered to all eligible employees according to compliance mandated by the Affordable Care Act
Quadrant is an affirmative action/equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, status as a protected veteran, or status as an individual with a disability.