Medical Biller - Denials Management

J. Morrissey; Farmington (CT); Hybrid; USD 30,000 - 34,000; Full time

Job summary

J. Morrissey is seeking an experienced Medical Biller to support the revenue cycle operations of a physician office in Farmington, CT. The ideal candidate will have strong knowledge of insurance claims follow-up, denials management, appeals, and patient collections.

Responsibilities include following up on submitted and denied claims, working with carriers and patients, and researching and resolving denials. EPIC EMR experience is preferred.

Qualifications

• Experience in a physician office or healthcare setting.
• Strong knowledge of insurance claims follow-up and denial resolution.
• Experience with EOBs, insurance portals, and appeals.

Responsibilities

• Review queues to manage submitted and denied insurance claims and secure payment.
• Follow up with insurance carriers regarding outstanding claims and balances.
• Follow up with patients regarding outstanding balances and collections.
• Research and correct claim denials for timely resubmission.
• Prioritize daily workload based on aging and high-dollar claims.
• Determine appropriate follow-up actions on outstanding and denied claims.
• Review and interpret Explanation of Benefits (EOBs).
• Navigate insurance carrier portals to research claim status, eligibility, benefits, and payment information.
• Prepare and submit appeals when appropriate.
• Maintain accurate documentation of claim follow-up and resolution activities.
• Work independently while meeting productivity and follow-up expectations.

Skills

Medical billing experience

Insurance claims follow-up

Denials resolution

EPIC EMR

Communication skills

Organization

Tools

EPIC EMR

Job description

Medical Billing Collections- HYBRID!

J. Morrissey is seeking an experienced Medical Biller to support the revenue cycle operations of a physician office. The ideal candidate will have strong knowledge of insurance claims follow-up, denials management, appeals, and patient collections.

Key Responsibilities

• Review automated work queues to manage previously submitted and denied insurance claims and secure payment.
• Follow up with insurance carriers regarding outstanding claims and balances.
• Follow up with patients regarding outstanding balances and collections.
• Research and correct claim denials for timely resubmission.
• Prioritize daily workload based on claim aging, dollar amounts, and payment urgency.
• Determine appropriate follow-up actions on outstanding and denied claims.
• Review and interpret Explanation of Benefits (EOBs).
• Navigate insurance carrier portals to research claim status, eligibility, benefits, and payment information.
• Prepare and submit appeals when appropriate.
• Maintain accurate documentation of claim follow-up and resolution activities.
• Work independently while meeting productivity and follow-up expectations.

Qualifications & Skills

• Previous medical billing experience, preferably in a physician office or healthcare setting.
• Strong understanding of insurance claims follow-up and denial resolution.
• Experience with EOBs, insurance carrier portals, and appeals.
• Ability to identify the appropriate action needed to resolve outstanding claims.
• Strong organizational skills with the ability to prioritize work based on aging and high-dollar claims.
• Excellent attention to detail and follow-through.
• Strong written and verbal communication skills.
• Experience with EPIC EMR.

Compensation & Schedule

Pay Rate: $22.00-$25.00 per hour, based on experience. HYBRID - WAH 2 days - In Office 3 days!