ON-SITE Medical Biller
Company: Progressive Spine & Orthopaedics, LLC
Location: Englewood
Posted on: May 7, 2024
Job Description:
Medical Biller & Collections Coordinator WORK LOCATION: On-Site
(Englewood, NJ) SUMMARY: The Medical Biller and Collections
Coordinator plays a crucial role by ensuring providers are properly
reimbursed for the services they provide to patients. Responsible
for accurately and efficiently processing healthcare claims, coding
medical procedures, accurately inputting information into the
billing system, and submitting claims to insurance companies.
DUTIES AND RESPONSIBILITIES:
- Generate and electronically submit claims and statements at
designated intervals ensuring they are processed in a timely
manner; corrects any errors for complete and accurate transmission
of data.
- Monitor the status of submitted claims, follow up with
insurance companies to resolve any discrepancies or denials, and
resubmit claims as needed.
- Record payments received from insurance companies, patients, or
other sources and apply them to the appropriate accounts while
maintaining balance sheets.
- Assign appropriate medical codes (e.g., ICD-10, CPT) to
diagnoses, treatments, procedures, and surgeries using established
coding systems.
- Prepare and review medical claims for accuracy, completeness,
and compliance with insurance and government regulations.
- Generate bills and invoices for patients and insurance
companies based on the services provided.
- Answer patient inquiries regarding billing and insurance,
explain charges, and provide assistance in resolving billing
disputes.
- Stay up-to-date with changes in healthcare regulations,
insurance policies, and coding guidelines to ensure compliance with
legal requirements.
- Maintain accurate and organized records of all billing and
claims-related activities.
- Generate reports to track billing and collections performance,
including accounts receivable aging reports.
- Researches and processes refund requests and overpayments.
- Prepares correspondence and/or collection letters.
- Prepares letters of appeal to insurance companies if the
company refuses to pay contracted claims and/or denies a claim;
submits documentation necessary to support claim; resubmits claims
with corrections if needed for payment for all insurance
payers.
- Performs additional duties including but not limited to copying
checks received and recording payment, faxing information as
required, generating retroactive authorization requests, and
verifying medical eligibility.
- Performs other related duties as assigned by management.
QUALIFICATIONS:
- High school diploma or equivalent; prefer a degree or
certification in medical billing or related field.
- MUST HAVE STRONG NJ OON ORTHOPEDICS COLLECTIONS
EXPERIENCE!
- Knowledge of medical terminology, anatomy, and coding systems
(ICD-10, CPT).
- Proficiency in medical billing software and electronic health
record (EHR) systems.
- Strong attention to detail and accuracy.
- Excellent communication and interpersonal skills for
interacting with patients, healthcare providers, paralegals, and
insurance companies.
- Knowledge of healthcare billing regulations and compliance
standards.
- Problem-solving skills to resolve billing discrepancies and
denials.
- Proven ability to handle multiple projects and meet deadlines
BENEFITS:
- Competitive salary
- Health, dental, and vision insurance
- Retirement Plan
- Employee Assistance Program
- Paid time off
- Opportunities for professional development and growth
- Collaborative and supportive work environment SCHEDULE: Monday
to Friday (no weekends) JOB TYPE: Full-Time (8 hour shifts) We are
an Equal Opportunity Employer. All qualified applicants will be
considered for employment regardless of age, national origin, race,
color, disability, religious beliefs, or sexual orientation.
PI47b49abb2f9a-8206
Keywords: Progressive Spine & Orthopaedics, LLC, Tenafly , ON-SITE Medical Biller, Healthcare , Englewood, New Jersey
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