Medical Insurance Biller I

Medical Insurance Biller II

Larkin Health System is an integrated healthcare delivery system accredited by the Joint Commission with locations in South Miami, Hialeah and Hollywood, Florida. Our network of acute care hospitals provide a complete continuum of healthcare services, including a full range of inpatient and outpatient services, and home health agencies in Miami-Dade and Broward County. We are heavily invested in training the next generation of health professionals, which is the core of our mission: to provide access to compassionate care of the highest quality in an educational environment.

General Job Description

Under the direction of the Business Office Director, the Medical Insurance Biller II is responsible for the timely and accuracy submission of hospital medical claims. Correction and resubmission of all billing errors. Adhere to CMS rules and regulations, as well as state and federal laws.

Duties and Responsibilities

• Perform initial and secondary claim submissions through clearinghouse.
• Performs corrections to claims and resubmits claims to insurance company.
• Process rejections of electronic EDI reports, electronic remits, remittance advice.
• Monitor claims for missing information or any billing errors.
• Resolves specific payer/plan claim edits.
• All other duties as assigned

Qualifications for the Job

Education:

High School Diploma or equivalent

Certified Medical Coder preferred.

Experience :

1-3+ years of experience in hospital billing.

Other:

• Proficiency in medical terminology, coding systems and medical billing procedures.
• Strong attention to detail.
• Excellent communication skills.
• Knowledge of administrative and clerical procedures and systems such as word processing, outlook and excel.