Job Overview

Oversee and complete the administrative responsibilities of billing insurance, correcting rejections, and resolving billing denials.

Job Duties and Responsibilities

• Prepare and submit billing data and medical claims (hospital and physician) to insurance companies in accordance with federal, state, and payer mandated guidelines.
• Comply with productivity standards while maintaining quality levels.
• Ensure proper hospital claim submission and payment through review and correction of claim edits, errors, and denials. 
• Investigate, follow up with payers, and work claims as assigned.
• Perform posting billing adjustments.
• Ensure billing reroutes are worked timely and comply with company procedures.
• Conduct duties in a professional and timely fashion.
• Achieve maximum reimbursement for services provided.
• Punctual, dependable, and adapt easily to change.
• Must complete payor specific rules and regulations training. 

Qualifications

• 2+ years of work experience as a Medical Biller or similar role
• High school diploma or equivalent
• Must have Cerner experience

Knowledge, Skills, and Abilities

• Knowledge of ICD-10 Diagnosis and procedure codes and CPT/HCPCS codes.
• Knowledge of rules and regulations relative to medical billing practices.
• Knowledge of revenue cycle data analysis and interpretation.
• Skilled in medical accounts investigation.
• Skilled in billing software and electronic medical records
• Skilled in analytical and critical thinking.
• Skilled in professional writing and communication.
• Skilled in time management and organization.
• Ability to problem-solve and organize.
• Ability to multitask and manage time effectively.
• Ability to provide attention to detail.