Biller II
Posted 22ds ago
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Job Description
Biller II managing insurance claims and billing processes for healthcare clients. Overseeing administrative responsibilities, ensuring timely claim resolution and payment processing.
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.
Requirements:
- Experience with EPIC system preferred
- High school diploma or equivalent required
- Associate's degree preferred
- 2+ years of work experience as a Medical Biller or similar role.
- Proficiency in Microsoft Office Suite, Teams, and virtual meeting platforms (GoToMeeting, Zoom).
- Knowledge of ICD-10 Diagnosis and procedure codes and CPT/HCPCS codes.
- Knowledge of rules and regulations relative to medical billing practices and regulations.
- 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.
Benefits:
- Payor specific rules and regulations training
