Medical Billing Representative

SARL ARTILEC; Philadelphia (Philadelphia County); On-site; USD 35,000 - 55,000; Full time

Job summary

An established industry player is seeking a detail-oriented Medical Billing Representative to join their team. In this entry-level role, you will be responsible for submitting and managing claims, ensuring accuracy and compliance in billing practices. This position offers a supportive environment where you can grow your skills in medical billing and claims processing. With a focus on community values, the company is dedicated to creating a workplace that reflects the diverse populations they serve. If you're looking for a chance to start your career in healthcare billing, this opportunity could be perfect for you.

Benefits

401(k)

401(k) matching

Dental insurance

Employee assistance program

Employee discount

Flexible spending account

Health insurance

Life insurance

Paid time off

Referral program

Vision insurance

Qualifications

• Basic understanding of medical billing processes and procedures.
• Ability to perform audits on claims for accuracy.

Responsibilities

• Submit hospital or professional claims to various payers.
• Review and correct claims for accuracy and completeness.
• Resolve ECS rejections and communicate with management.

Skills

Medical Billing

Claims Processing

Attention to Detail

Communication

Education

High School Diploma/GED

Job description

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DISCLAIMER: DO NOT APPLY IF YOU DON'T RESIDE IN THE UNITED STATES

DO NOT APPLY IF YOU ARE NOT LEGALLY AUTHORIZED TO WORK IN THE UNITED STATES OF AMERICA

The Billing Representative submits hospital or professional claims to Payers. This includes Medicare, Medicaid, Managed Medicare, Managed Medicaid, Managed Care, Commercial, Workers Compensation, and Champus/Tricare.

Essential Functions Of The Role

1. Perform code and demographic audits on paper and electronic claims. Use the billing scrubber, payer edits, and custom edits for accuracy.
2. Communicate specific problems or concerns to Manager as appropriate.
3. Review electronic claims transmission reports. Resolve ECS rejections by correcting them in the system and resubmitting for payment.
4. Request or post charge corrections and appropriate credit and debit adjustments to patient accounts.
5. Correct patient demographic information when new/correct information is received.
6. Review claims for accuracy and completeness and obtain any missing information. Work rejected claims utilizing compliant and ethical billing practices.
7. Identify and bill secondary or tertiary insurances as needed.
8. Perform other duties as assigned or requested.

Belonging Statement

We believe that all people should feel welcomed, valued, and supported, and that our workforce should be reflective of the communities we serve.

Qualifications

• EDUCATION - H.S. Diploma/GED Equivalent
• EXPERIENCE - Less than 1 Year of Experience

Benefits

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Employee discount
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Referral program
• Vision insurance

Seniority level

• Entry level

Employment type

• Full-time

Job function

• Accounting/Auditing and Finance

Industries

• Construction

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