Medical Billing Representative

TridentCare; United States; Remote; USD 22,000 - 26,000; Full time

Benefits offered by this job

Two weeks vacation

Health insurance after 30 days

Sick time

8 paid holidays

Same day pay

Medical insurance allowance

Dental insurance

Vision insurance

Disability insurance

Company paid life insurance

401(k)

Job summary

TridentCare is seeking a Medical Biller to review and evaluate medical claims, verify patient identification, the exams performed, the ordering physician, and supporting documents in the medical record. You will review logs for accuracy, update patient and insurance data, obtain missing information, and coordinate with insurers for pre-authorizations.

A strong grasp of CPT/ICD-10 guidelines and federal regulations is essential.

Qualifications

• Required communication and computer skills with time management and customer service.
• Detail oriented and self-starter preferred.

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 on a 90 day probation.
• Verify designated fields on patient claims by reviewing information in the medical record.
• Update patient and insurance information as necessary.
• Contact clients to obtain missing information as needed.
• Contact insurance companies to obtain Pre-Authorizations as needed.
• Maintain current knowledge of CPT/ICD-10 guidelines and regulations.
• 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 to support organizational goals.

Skills

Communication Skills

Computer Skills

Time Management

Customer Service

Education

High School or better.

Job description

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)

Qualifications

Skills

Required

Communication SkillsIntermediateComputer SkillsIntermediateTime ManagementIntermediateCustomer ServiceIntermediate

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.