Medical Biller at Quadrant, Inc. in Germantown, MD

Job description

• Medical Biller
• Germantown, MD
• Pay From: $23 per hour

Responsibilities

• Maintains responsibility for charge and payment entry within Electronic Health Record
• Coordinates and clarifies with providers, when necessary, on information that seems incomplete or is lacking for proper account/ claim adjudication
• Maintains responsibility for correcting, completing, and processing claims for all payer codes
• Analyzes and interprets that claims are accurately sent to insurance companies
• Performs follow up with Medicare, Medicaid, Medicaid Managed Care, and Commercial insurance companies on unpaid insurance accounts identified through aging reports
• Processes appeals online or via paper submission
• Assists in reconciling deposit and patient collections
• Assists with billing audit related information
• Processes refund requests
• Attends billing meetings/ workshops when needed
• Communicates with billing and credentialing coordinator to identify and resolve audit review issues
• Processes billing calls and questions from patients and third-party carriers
• Answers/responds to correspondence related to patient accounts. Is available to answer billing and changes related inquiries by patients, staff, Managed Care Organization, etc
• Communicates daily with internal and external customers via phone calls and written communications
• Researches, records findings, and communicates effectively with Manager to achieve optimum performance
• Maintains patient confidence and protects medical office operations by keeping patient information confidential
• Contributes to team effort by accomplishing related results as needed
• Promotes effective working relations and work effectively as part of a team to facilitate the department’s ability to meet its goals and objectives
• Demonstrates respect and regard for the dignity of all patients, families, visitors, and fellow employees to insure a professional, responsible and courteous environment
• Performs other duties as assigned to support MAPP Mission, Vision, and Values
• Produces and interprets EMR and Clearinghouse EBO reports
• Reconciles deposits and maintains deposit records

Requirements

• Knowledge of word processing software and spreadsheet software
• Experience recording hours worked in payroll system
• Must have EMR and Clearinghouse experience
• Strong insurance verification experiencer
• Full cycle medical billing experience

Skills

Required

• Knowledge of word processing software
• Knowledge of spreadsheet software
• EMR experience
• Clearinghouse experience
• Strong insurance verification experience
• Full cycle medical billing experience