Medical Biller III

Description

Millennium Health LLC is an accredited specialty laboratory with over a decade of experience in medication monitoring and drug testing services. We help clinicians monitor the use and misuse of prescription medications and illicit drugs, providing objective information to assess treatment effectiveness.

Under general supervision, the Billing Specialist monitors and initiates claim appeals on all insurance claims and pending receivables after final bill. The position requires comprehensive knowledge of coding and billing compliance, the adjudication process, and contractual obligations with various payers.

• Prepare appeal letters to insurance carriers when claim denials are not in agreement.
• Collect necessary information to accompany appeals.
• Understand denial codes from payors and resolve claim denials based on reason codes.
• Verify patient eligibility and resolve any issues.
• Contact customers to verify insurance information.
• Contact insurance companies to resolve payment issues.
• Identify areas for improvement within the billing department.
• Work to decrease A/R days to industry standards.
• Identify payor trends and work to resolve them.
• Correct claims for re-submission.
• Assist with monthly close functions.
• Establish and maintain effective working relationships.
• Reach and maintain department productivity and quality goals.
• Meet individual and team goals with minimal errors as assigned by the Billing Manager.
• Uphold Medicare, Medicaid, and HIPAA compliance guidelines in relation to billing, collections, and PHI information.
• Participate in educational activities and attend staff meetings.
• Maintain strict confidentiality and adhere to all HIPAA guidelines and regulations.
• Ensure HIPAA, Confidentiality, and Compliance policies, procedures, and standards are adhered to.
• Ensure administrative, physical and technical cybersecurity controls are adhered to.
• Provide regular and reliable attendance.

• High school diploma or GED required.
• Minimum 3+ years of insurance billing and collection experience.
• Knowledge of business office procedures.
• Knowledge of paper and electronic claim requirements.
• Expert knowledge on insurance and reimbursement process.
• Familiarity with HIPAA privacy requirements for patient information; maintains and protects confidential information.
• Understanding of medical ICD-9 codes and CPT medical billing codes.
• Proficient in use of computers and common office equipment.
• Good math and data entry (typing) skills.
• Ability to read, understand and follow oral and written instructions.
• Exercising good judgment and discretion.
• Good verbal and written communication skills.
• Good telephone and patient relation skills.
• Detail oriented and able to prioritize work.
• Works with minimal direction and oversight.
• Must be flexible to work overtime as necessary.

• Medical, Dental, Vision, Disability Insurance.
• 401(k) with Company Match.
• Paid Time Off and Holidays.
• Tuition Assistance.
• Behavioral and Health Care Resources.

• Pay Range: $21–$25/hr (dependent on qualifications, experience, and geographical location).

Millennium Health is an Equal Opportunity/Affirmative Action Employer and E-Verify participant. All qualified applicants will receive consideration for employment without regard to race, color, creed, sex, national origin, disability, gender identity, sexual orientation or protected veteran status.

• Mid-Senior Level

• Full-time

• Health Care Provider
• Medical and Diagnostic Laboratories (Industry)

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