Medical Biller/Remote-Missouri Based And On Site

Join Our Winning Team!

We offer our At Home Care family:

• Paid Time off and holiday pay
• If you’re seeking a rewarding career in health care, At Home Care is the place for you! Our GREAT MANAGERS believe YOU matter, and YOUR voice is heard.
• Paid Travel
• • Medical, Vision, Dental and Life insurance
  • Weekly Pay and Direct Deposit
  • Top pay wage scale
  • Paid Time off and holiday pay
  • Paid Travel
  • If you’re seeking a rewarding career in health care, At Home Care is the place for you! Our GREAT MANAGERS believe YOU matter, and YOUR voice is heard.
• Medical, Vision, Dental and Life insurance
• Weekly Pay and Direct Deposit
• Top pay wage scale

Job Purpose: The Medical Biller, under routine supervision, performs all duties related to preparing and submitting medical insurance claims. This position reviews and adjusts accounts to ensure appropriate claim billing, including interacting with third parties and participants, processes, research, corrects accounts, posts payments and adjustments, and interprets Explanation of Benefits (EOB) documentation. The ideal individual will have the ability to exercise good judgment in a variety of situations, with strong written and verbal communication, administrative, and organizational skills, and the ability to maintain a realistic balance among multiple priorities.

:

• Correct and resubmit claim denials.
• • Prepares and submits clean claims to various insurance companies either electronically by a billing clearinghouse or by paper.
  • Gathers insurance billing information by reviewing patient hospital records; checking for completeness.
  • Bills carrier by inputting billing information to database; initiating electronic transmissions.
  • Process claims as they are paid and credit accounts accordingly.
  • Resolves disputed claims by gathering, verifying, and providing additional information; following-up on claims.
  • Resolves discrepancies by examining and evaluating data; selecting corrective steps.
  • Adjusts patient bills by reviewing remittance advice; consulting with payer.
  • Monitor payor claim acceptance and response timeliness.
  • Contact payors when needed to obtain claim payment updates.
  • Correct and resubmit claim denials.
  • Escalate claims for potentially payor relations bulk resolution.
  • Ensure proper charge capture, billing, and adjudication of claims per federal, state, and private billing guidelines.
  • Prepares monthly reports of billing by summarizing billings, adjustments, and revenues received.
  • Updates job knowledge by participating in educational opportunities; reading professional publications; keeping current on billing and reimbursement procedures.
  
  
• Contact payors when needed to obtain claim payment updates.
• Prepares monthly reports of billing by summarizing billings, adjustments, and revenues received.
• Monitor payor claim acceptance and response timeliness.
• Resolves discrepancies by examining and evaluating data; selecting corrective steps.
• Prepares and submits clean claims to various insurance companies either electronically by a billing clearinghouse or by paper.
• Ensure proper charge capture, billing, and adjudication of claims per federal, state, and private billing guidelines.
• Bills carrier by inputting billing information to database; initiating electronic transmissions.
• Escalate claims for potentially payor relations bulk resolution.
• Process claims as they are paid and credit accounts accordingly.
• Resolves disputed claims by gathering, verifying, and providing additional information; following-up on claims.
• Adjusts patient bills by reviewing remittance advice; consulting with payer.
• Gathers insurance billing information by reviewing patient hospital records; checking for completeness.
• Updates job knowledge by participating in educational opportunities; reading professional publications; keeping current on billing and reimbursement procedures.

Qualifications:

• Working knowledge of PC applications (Microsoft Office Suite)
• 1 year of Healthcare medical claims processing or billing experience required
• Ability to effectively manage workload in a high-volume environment, strong attention to detail
• Ability to compute percentages and basic math functions
• Effective oral, written, and interpersonal communication skills