Medical Biller Lead - FT , 5+ Years Exp

About the position

The Medical Biller Lead position at PGM Billing, LLC is a full-time role focused on supporting the manager in various billing tasks within a medical billing company. The ideal candidate will have over 5 years of experience in revenue cycle management and will be responsible for handling billing tasks, denial management, and assisting staff in resolving issues. This role requires in-office work and emphasizes the importance of accuracy and communication in a fast-paced environment.

Responsibilities
? Support manager in account specific work such as billing out claims, working rejections and denials, posting payments, A/R follow-up and denial management.
,
? Investigate complex denials that other staff may be unable to resolve by locating payer policies and evaluating coding problems.
,
? Access insurance carrier portals or third-party intermediary portals to track down denial reasons and/or payment details.
,
? Learn and master the use and functionality of the billing software, including the clearinghouse portal.
,
? Make necessary updates to the practice management software or clearinghouse website to re-submit claims previously denied for payment.
,
? Assign or identify appropriate CPT codes (ICD-9, DRG, ICD-10), diagnoses codes, and modifiers.
,
? Verify patient insurance coverage.
,
? Maintain confidentiality of patient information and adhere to HIPAA regulations.
,
? Stay updated on changes in medical coding systems and billing procedures.

Requirements
? Minimum of 5 years of experience in medical billing or coding.
,
? Proficiency in medical coding systems (ICD-9, DRG, ICD-10).
,
? Knowledge of medical office procedures and medical collection practices.
,
? Strong attention to detail and accuracy in coding and billing processes.
,
? Professional communication skills with staff and providers.
,
? Ability to work independently and meet deadlines in a fast-paced environment.

Nice-to-haves
? Experience with EHR systems
,
? Organizational skills
,
? Ability to work well in a team setting.

Benefits
? Health insurance
,
? Dental insurance
,
? 401(k)
,
? Flexible spending account
,
? Paid time off
,
? Vision insurance
,
? Flexible schedule
,
? Life insurance

Apply Job!

For more such jobs please click here!