MBE/WBE Certified
Credence Global Solutions

Medical Biller

Position Overview:

A medical biller is responsible for submitting medical claims to insurance companies and payers. It is a position that is critical for the financial cycle of all health care providers, from single-provider practices through large medical centers.

Medical billing requires attention to detail and experience with the electronic and paper systems used in billing healthcare services.

Physical Demands: Must be able to sit at a computer for extended periods of time, use files up to 40 inches in height and lift books and reports weighing up to 15 pounds.

Job Role:

  • Obtaining referrals and pre-authorizations as required for procedures
  • Entering patient demographic information such as name, address, date of birth, update provider information and insurance information to create office encounters for various practices
  • Checking eligibility and benefits verification for treatments, hospitalizations and procedures
  • Reviewing claims for accuracy and completeness, and obtaining any missing information
  • Preparing, reviewing and transmitting claims using billing software, including electronic and paper claim processing
  • Following up on unpaid claims within standard billing cycle timeframe
  • Checking each insurance reimbursement for accuracy and compliance with contract discount
  • Calling insurance companies regarding any discrepancy in payments if necessary
  • Identifying and billing secondary or tertiary insurance
  • Reviewing accounts for insurance or patient follow-up
  • Researching and appealing denied claims
  • Answering all patient or insurance telephone inquiries pertaining to claims billed
  • Setting up patient payment plans and work collection accounts
  • Updating billing software with rate changes
  • Utilizing problem-solving skills to research and resolve discrepancies, denials, appeals and collections
  • Working well in a team environment.

Preferred Profile:

  • Knowledge of insurance plans including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems
  • Competent use of computer systems, software and 10 key calculators
  • Familiarity with CPT and ICD-10 Coding
  • Effective communication abilities for phone contacts with insurance payers to resolve issues
  • Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds
  • Knowledge of accounting and bookkeeping procedures
  • Knowledge of medical terminology and have experience in Medical Billing
  • This is a full time 40hrs per week position 
  • Working Hours: 8am to 4.30pm

Benefits:

  • At the completion of probationary period Medical/ dental and optical coverage is available
  • Paid Vacation / Holidays
  • Training
  • 5 days working

Education and Experience:

  • High school graduate
Job Category: Operations
Job Type: Full Time
Job Location: Mesa AZ

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