Medical Biller

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This range is provided by Insight Global. Your actual pay will be based on your skills and experience talk with your recruiter to learn more.

Base pay range

$50,000.00/yr - $55,000.00/yr

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QUALIFICATIONS:

• Associates Degree or 3-5 years related experience or equivalent combination of education and experience specifically dealing with Medicare and Medicaid
• Experience collecting unpaid payor transactions and researching discrepancies.

POSITION SUMMARY:

Maintains accounts receivable records and processes invoice transactions for Medicaid and other insurance payors, performing follow-up efforts to secure payment for services delivered.

ESSENTIAL DUTIES:

• Maintains the sponsor file in the Agency Accounts Receivable System (HSIS) to ensure proper billing to client payor sources.
• Performs collection activities to follow up on unpaid payor transactions and researches discrepancies.
• Confers with private and public insurance companies by telephone to determine reasons for overdue payments, reviewing contract terms, services delivered, and authorizations.
• Notifies program staff regarding client eligibility status.
• Updates service authorizations for clients according to insurance company instructions.
• Processes and delivers invoice copies for payors.
• Researches and processes customer claims of invoice payment.
• Researches and processes charge backs, returns, and bad checks.
• Answers accounts receivable inquiries and follows up as necessary.
• Maintains communication with customers and funders as needed.
• Attends scheduled staff meetings, supervision, and ongoing training.
• Contributes to the development and maintenance of the Agencys systems through timely documentation, complying with fiscal, legal, licensing, and accreditation standards.

Seniority level

Not Applicable

Employment type

Full-time

Job function

Other

Industries

Hospitals and Health Care

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Inferred from the description for this job

• Medical insurance
• Vision insurance
• 401(k)

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