Medical Biller and Coder
Job Description
Job Description
Neurology and pain management office is seeking an experienced medical biller. The ideal candidate will have a strong background in medical billing and coding, with the skills necessary to increase collections and reduce A/R days by effectively working denied claims. The successful applicant must have excellent communication skills, be a great team player and demonstrate a high level of professionalism.
- Monitor aging to ensure timely follow-up of claims resolution, reduction of future denials, ensuring accurate payment and escalation of issues to management as identified
- Must be able to interpret payer explanation of benefits (EOBs) to ensure proper reimbursement of claims, and report any problems, issues, or payer trends to management
- Conduct insurance re-verification as needed through various tools and initiate billings to a new payer or reprocess the claim accordingly, or bill patient
- Research payer guidelines and write and submit appeals as appropriate
Required Skills and Experience:
- Experience in CPT and ICD-10 coding
- Claims appeal and resolution experience
- Payment posting and accounts receivable knowledge
- Familiarity with medical terminology
- EMR experience preferred Epic
- 2 years medical billing experience
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