Certified Medical Biller

JOB TITLE: Certified Medical Biller

TYPE: Non-exempt, Hourly

SCHEDULE: Full- time, Monday through Friday, 8:00 a.m. to 5:00 p.m.

REPORTS TO: RCM Team Manager and Director of RCM Services

JOB PURPOSE: The Certified Medical Biller will be responsible for completing assigned tasks for Zenith Healthcare Solutions clients including, but not limited to, the following job duties:

JOB DUTIES: ? Create invoices for services provided by clients within their electronic medical record (EMR) system or practice management (PM) system. ? Ensure appropriate charges are applied to invoices within the EMR/PM system for services provided by clients. ? Ensure appropriate CPT, HCPCS, and ICD-10 codes are billed by clients ? Post payments from third party payers and patients that are collected and scanned into the EMR/PM system by clients within a specified timeframe. ? Download ERA/ERN files to client server from client?s clearinghouse. ? Ensure accurate and timely auto-posting activity in client?s EMR/PM system using ERA/ERN files downloaded from client?s clearinghouse. ? Review auto-posted activity to ensure accuracy. Correct information incorrectly posted. ? Processes rejections and denials within a specified timeframe for clients. ? Determine if claims need to be re-filed or submitted for an appeal for clients. ? Review and respond appropriately to appeal requests for third party payers within the time frame required by the payer. ? Make routine inquiries on filed insurance claims to determine status with updated notes within the client?s EMR/PM system. ? Routinely work insurance and patient collections as defined by Zenith Healthcare Solution?s Policies and Procedures. ? Verify patient insurance benefits and eligibility. Assist client determine time of service (TOS) financial responsibility. ? Document work performed and action taken within client EMR/PM system. ? Review patient information in client EMR/PM system to determine if adjustments made on accounts are valid and whether additional approval is required. Processes all approved adjustments. ? Request additional information if necessary from client to ensure timely payment of all insurance claims. ? Answer patient phone calls concerning balances and adjudicated insurance claims posted into client?s EMR/PM system. ? Communicate with designated client representative (usually office manager) concerning topics related to billing and collection as directed by RCM Team Manager. ? Other related job duties that may be assigned from time to time to assist clients with revenue cycle management projects and tasks. ? JOB REQUIREMENTS: ? Certified Medical Biller ? High school diploma or GED ? Strong verbal and written communication skills. ? Previous 3-5 year experience in medical billing and collections. ? Experience with EMRs/PMs and clearinghouses ? Ability to work effectively with a team to achieve goals and complete tasks. ? Knowledge of common medical billing and coding practices. ? Strong understanding of medical terminology and ability to use in daily tasks.

Job Type: Full-time

Benefits:
? Dental insurance
? Health insurance
? Life insurance
? Paid time off

Schedule:
? Monday to Friday

Experience:
? Medical billing: 4 years (Required)

Work Location: Remote

Apply Job!

For more such jobs please click here!