Occupational Health Biller

Bayview Physicians Group; Virginia Beach (VA); On-site; USD 20,664 - 37,195; Full time

Benefits offered by this job

Full-time benefits

Supportive team culture

Multiple locations

Career advancement

Job summary

Bayview Physicians Group in Virginia Beach is seeking an experienced medical claims reviewer to ensure correct payments under payer contracts and align with regulatory requirements. The role involves reviewing occupational health claims, reprocessing unprocessed claims within filing limits, verifying EOBs, and maintaining productive payer relationships.

Excellent accuracy, confidentiality, and timely follow-up are essential as part of a collaborative, full-time team.

Qualifications

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

Responsibilities

• Reviewing and addressing occupational health claims to ensure proper payments according to the payer's contract.
• Reviewing unprocessed claims within the payer's timely filing limits for resubmission of claims for payment.
• Researching Eligibility of Benefits (EOB) to verify correct payment and adjustments posted to patient accounts.
• Researching EOBs to determine if unpaid balances need to be appealed to the Worker’s Compensation Committee.
• Researching denied claims or claims with no response to determine proper follow-up steps to obtain payment.
• Posting occupational health and workers' compensation payments.
• Answer client inquiries via phone and email daily.

Education

High school diploma or equivalent

Minimum of 1 year of previous medical experience

Job description

Overview

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

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 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 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.
• Maintaining confidentiality regarding 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 workers\' compensation payments.
• Answer client inquiries via phone and email daily.

Qualifications

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

Benefits

• 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