Medical Biller

Blize Healthcare; Hercules (CA); On-site; USD 55,000 - 70,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

401(k)

Paid time off

Job summary

Blize Healthcare is seeking a Medical Biller to join our team in California. You will bill Home Health and Hospice patients and ensure accurate submissions while complying with payer requirements.

The role requires DDE experience, strong analytical skills, and knowledge of billing software/EMR. Prior home health or hospice experience is preferred; physical ability is required to lift up to 50 pounds.

Qualifications

• Direct Data Entry (DDE) experience and correcting billing errors via DDE.
• Strong analytic and problem-solving skills.
• At least 1 year of related work experience.
• Knowledge of Axxess is preferred.
• Solid understanding of billing software and electronic medical records.
• Ability to multitask and manage time effectively.
• Experience in home health or hospice.
• Check and run insurance.

Responsibilities

• Bill Home Health and Hospice patients and correct billing errors using DDE.
• Cancellations and EOE's.
• Accurately process and bill Medicare, Medicaid, private payer, and patient claims per payer requirements and policy.
• Follow up with NGS and various Medi-Cal Managed Care Plans.
• Prepare ADRs as needed; TAR entry.
• Post payments and assist with intake/pre-authorizations and patient profiles.
• Complete claims to payers and post charges.
• Work on obtaining and renewing HMOs contracts.

Skills

DDE experience

Analytical skills

1 year experience

Axxess knowledge

Billing software/EMR

Multitasking

Home health/hospice

Insurance processing

Physical strength

Tools

Axxess

Billing software

EMR systems

Job description

Blize Healthcare is looking for a Medical Biller to join our team.

Responsibilities:

• Bill Home Health and Hospice patients and Correct Billing errors using DDE.
• Cancellations and EOE's.
• Accurately processes and bills Medicare, Medicaid, private payer, and patient claims in accordance with payer requirements and organization policy.
• Follow up with NGS and various Medi-Cal Managed Care Plans.
• Preparing ADRs as needed; TAR entry.
• Posting payments, as well as other duties as assigned (working closely with the intake department on pre-authorizations, and assisting with the setup and review of patient profiles).
• Performing completion of claims to payers and posting charges.
• Work on getting Contracts from HMOs and renewing contracts.

Required Skills & Qualifications:

• Must have Direct Data Entry (DDE) experience and correct Billing Errors through DDE.
• Strong Analytic and problem-solving skills.
• 1 year of related work experience.
• Knowledge of Axxess is preferred.
• Solid understanding of billing software and electronic medical records.
• Must have the ability to multitask and manage time effectively.
• Experience in home health or hospice.
• Check and run insurance.
• Physical strength and ability to lift up to 50 pounds, as needed.

Benefits:

• Health insurance.
• Dental insurance.
• Vision insurance.
• 401(k).
• Paid time off.