Specific duties include, but are not limited to:

• Submits medical claims to payers via electronic data interchange (EDI,) paper claims via mail, and enters claims through payer portals. Prepares and transmits patient statements for mailing.

• Ensures that all necessary information (Insurance plan, CPT code, procedure modifiers, ICD10 codes, etc.) has been entered into the billing system correctly and all necessary compliance paperwork is received for claims submission.

• Researches and corrects rejected claims for resubmission.

• Reconciles claims submitted with claims accepted by the clearinghouse.

• Other duties as required including, but not limited to, obtaining paperwork necessary for audits, printing explanation of benefits (EOB) for secondary claims submission, etc.

Position Requirements:

• High School Diploma or equivalent experience.

• 1-2 years prior medical billing experience required.

• Proven experience in using multiple computer screens and applications simultaneously to navigate, type, and access information.

• Strong multi-tasking abilities

• Strong verbal and written communication skills

• Team player with ability to communicate at all levels in the organization and with different types of customers.

Physical Requirements:

Standard office environment. 

More than 50% of the time:

• Sit, stand, and walk.

• Repetitive movement of hands, arms and legs.

• See, speak and hear to be able to communicate with patients.

Less than 50% of the time:

• Stoop, kneel or crawl.

• Climb and balance.

• Carry and lift 10-20 pounds.

Residents living in CA, NY, Jersey City, NJ, WA and CO click here to view pay range  information.