MG Biller

KEY RESPONSIBILITIES: Maintain third party billing records research and analyze delinquent third-party payer claims resolution of problems such as reimbursement and then adjust and resubmit claims. Follow up on submitted claims and patient billing. Research and analyze delinquent third-party payer claims such as Medicare Medicaid and Commercial and Non-commercial carriers; verify patient eligibility adjust and submit claims as necessary. Respond to inquiries from patient/third-party payers; explain insurance coverage to patients research problems and correct errors by utilizing accurate ICD 9 and CPT codes. Maintain and update patient demographic information for proper billing to Insurance carriers as necessary. Follow up on submitted claims monitor unpaid claim reports; initiate tracers; resubmit claims as necessary. Respond to all inquiries from third-party payers in a timely manner. Respond to inquiries from individual insurance carriers (Commercial and Non-commercial) as well as patient calls with specific insurance questions. Post and initiate corrective action for all rejections from checks as well as correspondence from different insurance carriers. Other information: REQUIRED QUALIFICATIONS: Knowledge in third-party medical billing with 2 years/' experience in specialty services preferred. Solid working knowledge of third-party billing ICD 10 and CPT codes Excellent interpersonal and communication skills high level of organizational skills; self-motivated; strong problem solving skills; the ability to exercise independent judgment based upon established policies protocols or practices EDUCATION: High School diploma required.

Created: 2024-10-20