Medical Biller and EVV

Advanced Technologies Home Care; Ferguson (MO); On-site; USD 40,000 - 55,000; Full time

Benefits offered by this job

Medical, Vision, Dental, and Life insurance

Direct Deposit

Paid Time Off

Paid Travel

Job summary

A healthcare services provider in Ferguson, Missouri is seeking an experienced Medical Biller to handle the preparation and submission of medical insurance claims. Candidates must have a minimum of 1 year experience in healthcare billing, preferably with Missouri Medicaid and Electronic Visit Verification software. The role requires strong attention to detail and effective communication skills while managing a high-volume workload. Competitive benefits include medical insurance and paid time off.

Qualifications

• Minimum 1 year experience in healthcare billing or medical office settings.
• Preference for Missouri Medicaid experience and EVV Homecare software.
• Ability to manage workload effectively in a high-volume environment.

Responsibilities

• Prepare and submit clean claims to various insurance companies.
• Review and adjust accounts to ensure appropriate claim billing.
• Work with the Revenue Cycle Management team to address visit exceptions.

Skills

Healthcare billing experience

Attention to detail

Effective communication skills

Microsoft Office Suite

Basic math skills

Job description

Join Our Fun and Winning Team!

• SEEKING EXPERIENCED HOME CARE/HOME HEALTH CARE BILLER.
• PLEASE DO NOT APPLY UNLESS YOU HAVE AT LEAST 1 YEAR EXPERIENCE.

We offer our At Home Care family:

• Medical, Vision, Dental and, Life insurance
• Direct Deposit
• Top pay wage scale
• Paid Time off and holiday pay
• Paid Travel

Job Purpose

The Medical Biller, under routine supervision, performs all duties related to preparing and submitting medical insurance claims. This position reviews and adjusts accounts to ensure appropriate claim billing, including interacting with third parties and participants, processes, research, corrects accounts, posts payments, and adjustments, and interprets Explanation of Benefits (EOB) documentation.

Job Description

• Prepares and submits clean claims to various insurance companies either electronically through EMOMED or the payer portal.
• Aides in the use of the Electronic Visit Verification (EVV) system.
• Processes medical claims by a billing clearinghouse or by paper.
• Work with the Revenue Cycle Management team to address visit exceptions, post charges, and submit claims in a timely manner.
• Resolve claim denials and errors will be essential in maintaining the financial health of the organization.
• Follow up on outstanding accounts using Aging Reports, EOB's (Explanation of Benefits), and/or other correspondence, ensuring compliance with HIPAA regulations throughout the process.
• Work visit exceptions daily in software fixing the issue.
• Post charges weekly.
• Understand Medicaid, Managed Medicaid and Commercial Insurance regulations.
• Recognize and work claim denials and errors and know timely filing for each payer.
• Recognize payment errors (using payer contracted rates).
• Gathers insurance billing information by reviewing patient EVV records; checking for completeness.
• Bills carrier by inputting billing information to database; initiating electronic transmissions.
• Process claims as they are paid and credit accounts accordingly.
• Resolves disputed claims by gathering, verifying, and providing additional information; following-up on claims.
• Resolves discrepancies by examining and evaluating data; selecting corrective steps.
• Adjusts patient bills by reviewing remittance advice; consulting with payer.
• Monitor payor claim acceptance and response timeliness.
• Escalate claims for potentially payor relations bulk resolution.
• Ensure proper charge capture, billing, and adjudication of claims per federal, state, and private billing guidelines.

Qualifications

• A minimum of 1 year of experience in healthcare billing or medical office settings, with a preference for MIssouri Medicaid experience and Electronic Visit Verification(EVV) Homecare software.
• Ability to effectively manage workload in a high-volume environment, strong attention to detail.
• Working knowledge of PC applications (Microsoft Office Suite- Excel, Word).
• Strong ability to compute percentages and basic math functions.
• Effective oral, written, and interpersonal communication skills.