Medical Billing Representative

TridentCare; Texas; On-site; USD 22,000 - 26,000; Full time

Benefits offered by this job

Health Insurance after 30 days

Two weeks vacation

8 paid holidays

Same day pay

Dental insurance

Vision insurance

Disability insurance

Company paid life insurance

401(k)

Job summary

TridentCare is seeking a Medical Biller in Texas to review and evaluate medical claims, ensuring accurate patient identification and documentation of services performed.

You will verify information in the medical record, update patient and insurance details, and contact clients or insurers to obtain missing data or pre-authorizations as needed. This role may require overtime to meet department goals and support the organization.

Qualifications

• Review and evaluate medical claims, verify patient and service details.
• Update patient and insurance information as needed.
• Contact clients to obtain missing information.
• Coordinate with insurance for pre-authorizations when required.

Responsibilities

• Review ETech Log and Manual Tech Log for accuracy of patient seen.
• Verify designated fields on claims by reviewing medical records.
• Attend department meetings and participate in goals attainment.
• Overtime may be required to meet departmental objectives.

Job 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

Benefits

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
• Health Insurance after 30 days!
• Sick time
• 8 paid holidays
• Same day pay available
• Medical insurance allowance, giving you the freedom to customize your plan to fit your needs
• Dental insurance
• Vision insurance
• Disability insurance
• Company paid life insurance
• 401(k)