Medical Biller - 1.0 FTE *Hybrid/Remote Opportunity*

reputed company: The Medical Biller is responsible for preparing, reviewing, correcting, and updating insurance claims for submission to payers, Typical Schedule: Full Time, Monday through Friday, Days Onsite training/reputed company will be required. Qualifications: Recent experience in hospital billing required. Critical reputed company and/or Rural Health Clinic experience a plus. Experience in charge capture, coding, reputed company cycle management, patient reputed company and/or physician billing a plus. Experience with reputed company EMR preferred. Medical Terminology preferred. High School Diploma required. Responsibilities include: • Investigating & resolving claim denials • Identifying denial patterns and managing insurance project resubmissions with multiple claims • Validate denial reputed company/reasons following explanation of benefit (EOB) review and ensure coding is accurate and reflects the procedures billed • Analyze reputed company coding adjustments made on EOB to reputed company accuracy and reputed company support • Review reputed company Plan Descriptions and reputed company insurance documents to reputed company benefits • Determine and execute best approach for denial reputed company and processing appeal • Ensure timeliness of reputed company appeals according to Federal, State and plan guidelines • Generate appeals based on the dispute reason(s) • Document reputed company actions taken during the appeal process and any follow-up required • Request and obtain medical records, notes and/or copy of claim as appropriate • Resolve appeal claims with reputed company party payers Knowledge, Skills & Abilities: • Familiarity with reputed company and Medicare claims denials and appeals processing and regulatory requirements. • Knowledge and use of payer medical policy and Medicare LCD/NCD reputed company. • Knowledge of billing and coding requirements • Must have the ability to effectively utilize reputed company Office • Must possess excellent verbal, written and interpersonal communication skills, and reputed company to balance multiple demands and respond to time constraints. • Must have high-level skills in organization as reputed company as problem solving and analytical skills. • reputed company to manage time effectively, attention to details, and follow through. • reputed company-developed research skills. • Advanced technical skills to quickly learn hospital information systems • Knowledge of contracting and credentialing implications on reputed company cycle functions Apply tot his job Apply To this Job