Medical Biller

Sun Technologies; Mason (OH); On-site; USD 29,000 - 30,000; Part time

Benefits offered by this job

Medical Insurance in compliance with <

401(k)

Sick leave in compliance with laws

Job summary

Sun Technologies is seeking a Medical Claims Biller in Ohio for a 4-month contract with potential extension. The role requires 3+ years in medical billing, experience with EHR systems, and clearing houses to manage claims with multiple carriers.

Responsibilities include reviewing claims, processing denials, posting payments, and liaising with carriers and patients to maximize claim collections. ACA-compliant benefits are listed in the posting.

Qualifications

• High school diploma required.
• 3+ years of related work experience in medical billing and coding.
• Ability to prioritize handling of issues and multitask across multiple claims.

Responsibilities

• Review medical claims and transmit to the insurance carrier using the EHR system and clearing house.
• Monitor rejected claim reports and adjust claims for resubmission to the carrier.
• Download explanation of payments to post payments and denials in the EHR system.
• Determine if denied claims can be corrected and re-submitted to the carrier.
• Review aging reports to research open balances and resubmit within filing limits.
• Investigate denials and claim status via carrier websites as needed.
• Coordinate with the clearing house to distribute patient billing statements and monitor the patient portal.

Skills

Medical billing

Prioritization

Multitasking

Organizational skills

Education

High school diploma

Tools

EHR system

Clearing house

Job description

: Expected to be 04 months contract with possible extension

Job Description

Pay Range

• $21/hr – $22/hr, The pay rate may differ depending on your skills, education, experience, and other qualifications.

Featured Benefits:

• Medical Insurance in compliance with the ACA
• 401(k)
• Sick leave in compliance with applicable state, federal, and local laws

General Function

The Medical Claims Biller is responsible for monitoring insurance carrier adjudication of medical claims for one or more doctor practices. Utilize a practice EHR system and clearing house to review and submit claims to multiple medical insurance carriers Review open/unpaid claim balances and take required action.

Major Duties & Responsibilities

• Review medical claims and transmit to the insurance carrier using the practice electronic health records (EHR) system and clearing house.
• Monitor rejected claim reports and adjust claims for resubmission to the insurance carrier.
• Download insurance carrier explanation of payments (EOPs) to post claim payments and denials in the EHR system.
• Determine if denied claims can be corrected and re-submitted to the carrier.
• Review aging reports to research open balances and resubmit within insurance carrier filing limits.
• Utilize insurance carrier websites and contact carriers as needed to investigate denials and claim status.
• Partner with the clearing house to distribute patient billing statements and monitor the patient portal to post payments in the EHR system.
• Initiate overpayment refunds to patients and repayments to insurance carriers when required.
• Serve as the point of contact for the practice regarding all vision and medical claims.
• Support the corporate manager in maximizing claim collection rate.

Basic Qualifications

• High school diploma
• 3+ years of related work experience
• Experience with medical billing and coding
• Ability to prioritize handling of issues
• Organization skills and ability to multitask

Preferred Qualifications

• Experience working in multiple doctor practices
• Experience working with multiple insurance carriers and an understanding of their claim requirements
• Proven ability to identify issues and solve problems