Medical Claims Processor: Billing, Denials & Payments

I3 INFOTEK INC; Cincinnati (OH); Presencial; USD 40 000 - 65 000; Tempo integral

Resumo da oferta

I3 INFOTEK INC in Cincinnati, OH seeks a Medical Claims Biller to monitor insurance adjudication for multiple practices. You will use an EHR system and a clearing house to review and submit claims to various carriers.

The role requires 3+ years of medical billing experience, knowledge of claim requirements, and the ability to prioritize tasks, handle multiple accounts, and work with carrier portals to research denials and postings.

Qualificações

• High school diploma.
• 3+ years of related work experience.
• Experience with medical billing and coding.
• Ability to prioritize handling of issues.
• Organization skills and ability to multitask.

Responsabilidades

• Review medical claims and transmit to the insurance carrier using the practice EHR system and clearing house.
• Monitor rejected claim reports and adjust claims for resubmission to the insurance carrier.
• Download insurance carrier explanation of payments (EOPs) to post claim payments and denials in the EHR system.
• Determine if denied claims can be corrected and re-submitted to the carrier.
• Review aging reports to research open balances and resubmit within insurance carrier filing limits.
• Utilize insurance carrier websites and contact carriers as needed to investigate denials and claim status.
• Partner with the clearing house to distribute patient billing statements and monitor the patient portal to post payments in the EHR system.
• Initiate overpayment refunds to patients and repayments to insurance carriers when required.
• Serve as the point of contact for the practice regarding all vision and medical claims.
• Support the corporate manager in maximizing claim collection rate.

Conhecimentos

Medical billing

Claims processing

Prioritization

Multitasking

Organization

EHR systems

Clearinghouse

Carrier portals

Formação académica

High school diploma

Ferramentas

EHR system

Clearinghouse

Carrier portals

Descrição da oferta de emprego

I3 INFOTEK INC in Cincinnati, OH seeks a Medical Claims Biller to monitor insurance adjudication for multiple practices. You will use an EHR system and a clearing house to review and submit claims to various carriers.

The role requires 3+ years of medical billing experience, knowledge of claim requirements, and the ability to prioritize tasks, handle multiple accounts, and work with carrier portals to research denials and postings.