The Biller I, Medical Claims is responsible for submitting medical claims to government and private payers. Ensures that service date, CPT code, necessary modifiers, patient type (inpatient vs. outpatient, retail vs. wholesale, etc,) contrast injection type and dosage, providing physician, and equipment utilized has been entered correctly into the billing system. Distributes claims into electronic and paper billing queues and transmits patient statements for mailing. Primarily responsible for well-established sites that function as part of a normal workflow.
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.
Akumin Operating Corp. and its divisions are an equal opportunity employer and we believe in strength through diversity. All qualified applicants will receive consideration for employment without regard to, among other things, age, race, religion, color, national origin, sex, sexual orientation, gender identity & expression, status as a protected veteran, or disability.
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