Medical Biller and EVV

AAPC; St. Louis (MO); On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

Health insurance

Direct deposit

Competitive pay

Paid time off

Paid travel

Job summary

AAPC is seeking an experienced Medical Biller to join our home health care billing team in Missouri. The role involves preparing and submitting claims, reviewing accounts, posting charges and payments, and addressing denials to maintain financial health.

Responsibilities include working with EVV and payer portals, ensuring HIPAA compliance, and timely follow-up on aging claims in a high-volume setting. Prior Missouri Medicaid exposure is a plus.

Qualifications

• Minimum 1 year of experience in healthcare billing or medical office settings.
• Preference for Missouri Medicaid experience and EVV Homecare software.
• Proficient in Microsoft Office applications and billing systems.

Responsibilities

• Prepare and submit clean claims to insurance companies electronically or on paper.
• Review and adjust accounts; post charges and payments; resolve denials.
• Interface with EVV, payer portals, and billing software in a high-volume environment.
• Ensure HIPAA compliance throughout the process.
• Follow up on aging claims and monitor claim status with payers.

Skills

Attention to detail

Communication skills

Multitasking

Numerical proficiency

Tools

EMOMED

EVV system

MS Office (Excel, Word)

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.

Benefits

• 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