Office/Administration - Medical Claims Coordinator/Processor
$30 per hourReal Soft, Inc.
Medical Biller
Medical Biller
Markup 33.05
Budgeted Bill Rate: $30.00
13th month tenure discount 22.50%
Payment Terms Net 90 days (paid when paid) OIG/GSA and Background screenings required Missing equipment fee if not returned: $2000.00
# of positions needed: 2
Job Title/Job Description
Job Title: Medical Biller
Work hours: First Shift 8 AM 5 PM
Brand: Lenscrafters
Temp only or temp to perm: Temp to perm
Start date: ASAP
Length of assignment: Not ending
LOCATION - hybrid: Remote Monday and Friday; In office Tuesday, Wednesday, Thursday
Specific Skills Needed
Medical Billing, cash application and collection (collection is not calling demanding payment; it's researching why a claim didn't get paid and taking steps necessary to correct the info)
Years of Experience: 5 years
Reason for Request
New business is coming online.
General Function
The Medical Claims Biller is responsible for monitoring insurance carrier adjudication of TeamVision medical claims for one or more doctor practices. Utilize a practice EHR system and clearing house to review and submit claims to multiple medical insurance carriers. Review open/unpaid claim balances and take required action.
Major Duties & Responsibilities
Review medical claims and transmit to the insurance carrier using the practice electronic health records (EHR) system and clearing house.
Monitor rejected claim reports and adjust claims for resubmission to the insurance carrier.
Download insurance carrier explanation of payments (EOPs) to post claim payments and denials in the EHR system.
Determine if denied claims can be corrected and re-submitted to the carrier.
Review aging reports to research open balances and resubmit within insurance carrier filing limits.
Utilize insurance carrier websites and contact carriers as needed to investigate denials and claim status.
Partner with the clearing house to distribute patient billing statements and monitor the patient portal to post payments in the EHR system.
Initiate overpayment refunds to patients and repayments to insurance carriers when required.
Serve as the point of contact for the practice regarding all vision and medical claims.
Support the corporate manager in maximizing claim collection rate.
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