Medical Biller D

Medical Biller - (D)

GeBBS Healthcare Solutions

Connecticut based candidates only.

Join our growing team as a Medical Biller!

CPA Medical Billing, a division of GeBBS Health Care company, is currently seeking an experienced medical biller to join their team.

• Work aged accounts on assigned payers prioritizing accounts that are approaching timely filing denial.
• Devote time weekly to work current rejections 1 to 90 days old. Fix errors and re-bill accordingly.
• Look up payer eligibility using payer websites or call payers to gather needed information for billing. Update all accounts in the system for that patient and promptly re-bill.
• Contact guarantors as needed to determine insurance coverage. Drop tickets having no insurance to self-pay and bill patient.
• Work and identify the reason for the credit balance. Be sure everything going to the patient is self-pay. Review tickets on hold, checking chart to be sure they should be on hold and release after days on hold for that payer if dollars exist.

• Initiate appeals to payers following the guidelines outlined for that payer. Note account and track appeal to resolution.

• Enter notes on all tickets with action taken and paste any proof of insurance eligibility.
• Be prepared to account for action taken on tickets. Participate in meetings as instructed by management.
• Provide work status updates to management upon request that may include running statistical reports.
• Meet or exceed all set deadlines and goals.
• Promptly inform management of any problems or changes with system or payers identified during the course of daily work.

• Offer assistance and share knowledge with co-workers either when asked or when necessary for the betterment of completing tasks, the overall account and company.

• Participate in personal development training and cross training as instructed by management.
• Understand and follow all payer rules when setting up billing schemes on accounts to ensure accurate claims.
• Follow protocol by informing managerial staff of any problems and never contact clients without the prior management approval.
• Understand coding rules and schemes to detect potential claim errors. Consult with coders on those accounts in question.

• Adhere to all office policies at all times.
• Maintain confidentiality at all times.
• Work special projects as assigned.
• Retrieve voice mail several times daily and return all calls within 24-hour period.
• Participate in being “part of the team” – contribute to a calm but enjoyable workplace environment.

Qualifications and Skills:

• At least 2 years of full-time medical billing work.
• Availability to work full-time (40 hours per week) between the hours of 8am and 6pm Monday through Friday (no weekends).
• Strong work ethic and ability to work independently in a very busy office.
• Prior experience using ECW is preferred but not required.
• FQHC experience is a plus.
• Completion of medical billing/coding program or certification is strongly preferred.

Mid-Senior level

Full-time

Health Care Provider