Job Description
We are seeking a skilled Medical Billing & Claims Specialist Hybrid Role to join our client’s team, one of the US’s largest Security companies
GENERAL FUNCTION
The Medical Claims Biller is responsible for monitoring insurance carrier adjudication of TeamVision medical claims for one or more doctor practices. Utilize a practice electronic health records (EHR) system and clearing house to review and submit claims to multiple medical insurance carriers. Review open/unpaid claim balances and take required action.
MAJOR DUTIES & RESPONSIBILITIES
• Review medical claims and transmit to the insurance carrier using the practice EHR system and clearing house
• Monitor rejected claim reports and adjust claims for resubmission
• Download insurance carrier Explanation of Payments (EOPs) to post claim payments and denials in the EHR system
• Determine if denied claims can be corrected and re-submitted
• Review aging reports to research open balances and resubmit within insurance carrier filing limits
• Utilize insurance carrier websites and contact carriers to investigate denials and claim status
• Partner with the clearing house to distribute patient billing statements
• Monitor the patient portal to post payments in the EHR system
• Initiate overpayment refunds to patients and repayments to insurance carriers
• Serve as the primary point of contact for the practice regarding all vision and medical claims
• Support the corporate manager in maximizing claim collection rate
BASIC QUALIFICATIONS
• High school diploma
• 3+ years of related work experience
• Experience with medical billing and coding
• Ability to prioritize handling of issues
• Strong organizational skills and multitasking ability
• Effective communication skills (verbal, written, listening, presentation)
PREFERRED QUALIFICATIONS
• Experience working in multiple doctor practices
• Experience with multiple insurance carriers and understanding of claim requirements
• Proven problem-solving and issue resolution skills
#AZAAKI-NONIT
Job Type: Contract
Pay: $20.00 - $21.43 per hour
Expected hours: 40 per week
Work Location: In person
GENERAL FUNCTION
The Medical Claims Biller is responsible for monitoring insurance carrier adjudication of TeamVision medical claims for one or more doctor practices. Utilize a practice electronic health records (EHR) system and clearing house to review and submit claims to multiple medical insurance carriers. Review open/unpaid claim balances and take required action.
MAJOR DUTIES & RESPONSIBILITIES
• Review medical claims and transmit to the insurance carrier using the practice EHR system and clearing house
• Monitor rejected claim reports and adjust claims for resubmission
• Download insurance carrier Explanation of Payments (EOPs) to post claim payments and denials in the EHR system
• Determine if denied claims can be corrected and re-submitted
• Review aging reports to research open balances and resubmit within insurance carrier filing limits
• Utilize insurance carrier websites and contact carriers to investigate denials and claim status
• Partner with the clearing house to distribute patient billing statements
• Monitor the patient portal to post payments in the EHR system
• Initiate overpayment refunds to patients and repayments to insurance carriers
• Serve as the primary point of contact for the practice regarding all vision and medical claims
• Support the corporate manager in maximizing claim collection rate
BASIC QUALIFICATIONS
• High school diploma
• 3+ years of related work experience
• Experience with medical billing and coding
• Ability to prioritize handling of issues
• Strong organizational skills and multitasking ability
• Effective communication skills (verbal, written, listening, presentation)
PREFERRED QUALIFICATIONS
• Experience working in multiple doctor practices
• Experience with multiple insurance carriers and understanding of claim requirements
• Proven problem-solving and issue resolution skills
#AZAAKI-NONIT
Job Type: Contract
Pay: $20.00 - $21.43 per hour
Expected hours: 40 per week
Work Location: In person
💡 Quick Summary
Seeking a career-building opportunity? The Medical Billing & Claims Specialist position is now open for candidates interested in the Health Jobs sector. This role in Paramus offers a professional environment and growth potential.
Requirement Snapshot: Candidates should possess basic communication skills, a proactive attitude, and the ability to work in a team. Experience in Health Jobs is a plus.
