Occupational Health Biller

msaphy; Virginia Beach (VA); On-site; USD 21,000 - 37,000; Full time

Benefits offered by this job

Full-time benefits package

Collaborative, supportive team culture

Opportunities for professional growth

Job summary

Bayview Physicians Group in Virginia Beach seeks a full-time Medical Claims Specialist to review and process occupational health and workers’ compensation payments, verify eligibility, and resubmit denied or unprocessed claims. The role emphasizes accuracy, timely follow-up, and maintaining confidentiality in patient accounts.

Qualifications include a high school diploma and at least 1 year of medical-related experience.

Qualifications

• High school graduate or equivalent.
• Minimum of 1-year previous medical experience required.

Responsibilities

• Reviewing and addressing occupational health claims to ensure proper payments are received according to the payers' contract.
• Reviewing unprocessed claims within the payers' timely filing limits for resubmission of claims for payment.
• Researching Eligibility of Benefits (EOB) to verify correct payment and adjustments are posted to patient accounts.
• Researching Eligibility of Benefits (EOB) to determine if unpaid balances need to be appealed to the appropriate Worker's Compensation Committee.
• Researching denied claims or claims with no response to determine proper follow up steps be take to obtain payment.
• Correcting registrations on Worker's Compensation accounts and refiling claims.
• Addressing account inquiries and/or update requests in a timely manner.
• Establishing and maintaining a working relationship with payer representatives to ensure proper claim filing and reimbursement.
• Effectively communicate trends or issues to the appropriate staff.
• Maintains confidentiality in regards to patient account status and the financial affairs of the clinic/corporation.
• Regular and reliable attendance.
• Presents to work on time as scheduled.
• Perform other duties as assigned by supervisor.
• Posting occupational health and worker's compensation payments.
• Answer client inquiries via phone and email daily.

Job description

Bayview Physicians Group is a rapidly growing outpatient multi-specialty medical group, that strongly believes the doctor-patient relationship is the cornerstone of quality healthcare. We staff more than 600 positions in the Hampton Roads area. Individuals who possess excellent customer service skills, strong collegial relationships, and the desire to promote a positive work environment are encouraged to apply. We offer a competitive benefits package to our full-time employees and we are always accepting applications from qualified candidates.

Duties & Responsibilities:

• Reviewing and addressing occupational health claims to ensure proper payments are received according to the payers' contract
• Reviewing unprocessed claims within the payers' timely filing limits for resubmission of claims for payment
• Researching Eligibility of Benefits (EOB) to verify correct payment and adjustments are posted to patient accounts
• Researching Eligibility of Benefits (EOB) to determine if unpaid balances need to be appealed to the appropriate Worker's Compensation Committee
• Researching denied claims or claims with no response to determine proper follow up steps be take to obtain payment
• Correcting registrations on Worker's Compensation accounts and refiling claims
• Addressing account inquiries and/or update requests in a timely manner
• Establishing and maintaining a working relationship with payer representatives to ensure proper claim filing and reimbursement
• Effectively communicate trends or issues to the appropriate staff
• Maintains confidentiality in regards to patient account status and the financial affairs of the clinic/corporation
• Regular and reliable attendance
• Presents to work on time as scheduled
• Perform other duties as assigned by supervisor
• Posting occupational health and worker's compensation payments
• Answer client inquiries via phone and email daily

Qualifications:

• High school graduate or equivalent
• Minimum of 1-year previous medical experience required

• Full-time benefits package
• Collaborative, supportive team culture
• Multiple locations with consistent patient volume
• Opportunities for professional growth and advancement
• Competitive pay: $15-$27/hour.Actual pay depends on specialty, experience, schedule and job duties

Supervisory Responsibilities:

None