Job description
3 years of Medical Billing Specialist for Anesthesia and Pain management practice. required.
You must be reliable and send 3 professional references including their business phone number or email.
There are two locations Clinton, MD, and Washington DC
Medical Biller Roles and Responsibilities
Must Know:
o Customer Service and phone etiquette
o Correct printing and filling out of a CMS1500 Form
o Understand the process of Charge Entry and Claim Follow up
o Know how to read and explain the Explanation of Benefits (EOB)
o Know the difference between Medicare, Medicaid and Commercial Plans (QMB status).
o Know the process of Primary, Secondary and Tertiary Insurances
o Know how to use and access CPT codes and Diagnosis codes
o Doctors Notes, CPT Book, DX Book
Roles and Responsibilities:
Submit billing charges from the various sites of Northrium Health LLC and Privium Consultants LLC:
o Registering patients
o Verify Insurance information accuracy
o Convert CPT codes to Anesthesia codes when necessary
o Charge entry and claim submission through Kareo in less than 72 hours of receiving claim.
o Drop to paper claims when necessary
Enter Explanation of Benefits (EOB) into Kareo:
o Review denials, rejections, and errors immediately and reprocess claim in less than 5 business days from the date.
o Retrieve medical records when needed for LCD/ Medical Necessity review/ Appeals.
o Settle paid claims and/or process settlement of patient balances when indicated.
Review of A/R Ledger:
o Run reports of A/R from 90 days + for Insurance Claims
o Investigate every claim by making calls to insurance to track payment.
o Ask for payment tracking and/or resubmission of claims when indicated.
o Resubmit claims with POTF (proof of timely filing) if claims were not received by insurance company.
o Run reports of A/R from 90 days + for Patient Payments
o Investigate outstanding balances, send out letters with Past Due and final notices.
o Set up payment arrangements for patients who request it.
o TBD- Use of collection services
Patient Payments:
o Submit patient payments into Kareo.
o Process and understand the use of CLOVER credit services.
o Send out letters for any unpaid balances and/or insurance correspondence when necessary.
o Answer patient questions regarding EOBS etc.
Job Type: Full-time
Job Type: Full-time
Benefits:
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Work setting:
- Hybrid work
- Medical office
- Private practice
Experience:
- ICD-10: 3 years (Required)
Ability to Relocate:
- Clinton, MD 20735: Relocate before starting work (Required)
Work Location: Hybrid remote in Clinton, MD 20735