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Medical Biller (US-based)
CrewBloom
- Oregon, Ohio, United States
- Oregon, Ohio, United States
Über
Job Responsibilities
Claims Processing:
Prepare and submit accurate medical claims to insurance companies, Medicare, and Medicaid for reimbursement.
Billing:
Generate and send invoices to patients for services rendered, following up on outstanding balances and resolving billing discrepancies.
Insurance Verification:
Verify patients' insurance coverage and eligibility, ensuring all necessary authorizations and referrals are obtained before services being rendered.
Coding:
Assign appropriate medical codes (ICD-10, CPT, HCPCS) to diagnoses and procedures for billing purposes, ensuring compliance with coding guidelines and regulations.
Payment Posting:
Record and reconcile payments received from insurance companies and patients, applying them to the appropriate accounts in the billing system.
Denial Management:
Investigate and appeal claim denials and rejections, identifying and addressing root causes to prevent future issues.
Patient Communication:
Communicate with patients regarding billing inquiries, payment plans, and financial assistance options, providing excellent customer service while resolving concerns.
Documentation:
Maintain accurate and up-to-date records of billing activities, including claims submissions, payments, and correspondence with insurance companies and patients.
Compliance:
Adhere to all relevant healthcare regulations, including HIPAA and billing compliance guidelines, to ensure the integrity and confidentiality of patient information.
Requirements
Education:
High school diploma or equivalent required; additional medical billing and coding certification is preferred.
Experience:
Minimum of one year of experience in medical billing, preferably in a healthcare setting.
Knowledge:
Proficient in medical terminology, billing software (e.g., Epic, Cerner), and insurance claim processing procedures.
Skills:
Strong attention to detail, excellent organizational and time management skills, and the ability to multitask in a fast-paced environment.
Communication:
Effective verbal and written communication skills, with the ability to interact professionally with patients, providers, and insurance representatives.
Problem-Solving:
Demonstrated ability to analyze billing issues, identify solutions, and implement process improvements to optimize revenue cycle management.
Teamwork:
Ability to collaborate with colleagues across departments to resolve billing-related issues and achieve organizational goals.
Minimum Technical and Work Environment Requirements
Internet Connection:
Primary internet connection with a minimum speed of
15 Mbps .
Backup internet connection with at least
10 Mbps .
Backup connection must be capable of supporting work during a power outage.
Primary Device:
Desktop or laptop equipped with at least:
Intel Core i5 (8th generation or newer) ,
Intel Core i3 (10th generation or newer) ,
AMD Ryzen 5 , or an equivalent processor.
A minimum of
8 GB RAM .
Backup Device:
Must meet or exceed the performance of an
Intel Core i3
processor.
Must be functional during power interruptions.
Peripherals and Workspace:
A functioning
webcam .
A
noise-canceling USB headset .
A
quiet, dedicated home office space .
A
smartphone
for communication and verification purposes.
Join Our Dynamic Team
Join Our Dynamic Team:
Experience our fun, inclusive, innovative culture that values your unique contributions and supports your professional growth.
Embrace the Opportunities:
Seize daily chances to learn, innovate, and excel. Make a real impact in your field.
Limitless Career Growth:
Unlock a world of possibilities and resources to propel your career forward.
Fast-Paced Thrills:
Thrive in a high-energy, engaging atmosphere. Embrace challenges and reap stimulating rewards.
Flexibility, Your Way:
Embrace the freedom to work from home or any location of your choice. Create your ideal work environment.
Work-Life Balance at Its Best:
Say goodbye to stressful commutes and hello to quality time with loved ones. Achieve a healthy work-life integration to perform at your best.
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Sprachkenntnisse
- English
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