Medical Billing Representative

TridentCare; Horsham (PA); Remote; USD 22,000 - 26,000; Full time

Benefits offered by this job

Two weeks vacation

Sick time

8 paid holidays

Medical insurance allowance

Vision insurance

Disability insurance

401(k)

Job summary

TridentCare is seeking a Medical Biller in Horsham, PA to review and evaluate medical claims, verify patient and service details, and ensure all documentation supports the billed items.

You will handle updates to patient and insurance information, reach out to clients for missing data, and obtain pre-authorizations as needed, while staying current on CPT/ICD-10 guidelines and federal regulations.

Qualifications

• High School or better.
• Proficiency in communication, data entry and accuracy.
• Ability to manage time and customer interactions effectively.

Responsibilities

• Review ETech Log for accuracy of patient's seen.
• Review Manual Tech Log and ETech Log for probationary period accuracy.
• Verify fields on patient claims by reviewing the medical record.
• Update patient and insurance information as needed.
• Contact clients to obtain missing information.
• Request Pre-Authorizations from insurance companies as needed.
• Maintain knowledge of CPT, ICD-10, and Federal regulations.

Skills

Communication Skills

Computer Skills

Time Management

Customer Service

Education

High School or better

Job description

PA Horsham PA101062
Horsham Twp, PA 19044, USA

Locations

Showing 1 location PA Horsham PA101062
Horsham Twp, PA 19044, USA
+4 more locations

• Remote
• Administrative
• Full-Time
• Requisition #: MEDIC031736

Description

The Medical Biller is responsible for the review and evaluation of medical claims which includes proper identification of the patient, and verification of the exam(s) performed, the ordering physician or non physician practitioner, and the documents on file that substantiate the service.

TASKS AND RESPONSIBILITIES:

• Review ETech Log for accuracy of patient's seen.
• Review Manual Tech Log and ETech Log for accuracy of patient's seen for those techs who are on a 90 day probation.
• Consistently and accurately verify designated fields on patient claims. This is achieved by reviewing information provided in the medical record.
• Responsible for updating patient and insurance information as necessary.
• Responsible for contacting clients directly to obtain critical missing information as needed.
• Responsible for contacting insurance companies to obtain Pre-Authorizations as needed.
• Responsible for maintaining current knowledge of guidelines and relevant federal regulations through the use of current CPT books, and ICD-10 materials, Federal register, and other pertinent materials.
• Cross train in the 5 billing work queues - MBI Medicare, Missing Payor, Billing, Dr Mobilex & MBI Replacement Plan
• Attend and participate in department meetings.
• Required overtime as needed to meet departmental goals.
• Perform other tasks as assigned to support the goals of the organization.

Pay Rate : $16-19 per hour

TridentCare offers a competitive wage and robust benefit package to full time employees. Part time employees are eligible for many of the same below, pro-rated. Benefits include:

• Two weeks of vacation time
• Sick time
• 8 paid holidays
• Medical insurance allowance, giving you the freedom to customize your plan to fit your needs
• Vision insurance
• Disability insurance
• 401(k)

Qualifications

Skills

Required

Communication Skills Intermediate

Computer Skills Intermediate

Time Management Intermediate

Customer Service Intermediate

Behaviors

Preferred

Detail Oriented : Capable of carrying out a given task with all details necessary to get the task done well

Motivations

Preferred

Self-Starter : Inspired to perform without outside help

Education

Required

High School or better.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
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