Medical Billing Specialist — Claims & Pre-Auth Expert

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

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.