Job Title

Medical Biller - Remote EST Time Zone Your job would involve: • Primarily remote work with meeting in person on a necessary basis • Verify coverage and eligibility for medical services • Communicate with insurance providers and patients • Review patient bills and correct any missing or inaccurate information • Use a billing software to prepare and transmit claims • Clear up balance discrepancies • Investigate and appeal claims that were denied • Complete data entry to update spreadsheets and reports • Work with patients to set up payment plans • Adapt to updates and changes in billing software • Process denial management for claims rejected by the Insurance companies • Create and maintain licensing, credentials and insurance records • Conduct research on updated state and federal regulations and policies • Release information to requesting agencies and public inquiries when required by law • Help develop internal credentialing processes • Monitor license and credential expiration dates and advise staff members of required “renew by” dates • Ensure the facility and staff members are maintaining compliance with regulatory and accrediting institutions What You Should Have: • Proficiency with computers and medical billing software • Knowledge of unfair debt collection practices and insurance guidelines • Understanding of primary code classifications: ICD-10-CM, ICD-10-PCS, CPT and HCPCS • Communication skills with patients/healthcare companies • Basic accounting and bookkeeping practices • Bachelor's or Associate's degree preferred • Minimum of 5 years of healthcare billing and credentialling experience • Passion for healthcare and technology • Exceptional written and verbal communication skills • High degree of professionalism • Strong customer relationship management skills • Ability to foster strong, positive relationships • Proven ability to set goals and meet deadlines • Understanding of healthcare billings and credentialling industry • Certified Provider Credentialing Specialist (CPCS) certifications – Is a plus