Experienced Medical Claims Biller III

Description

Job Type: Full-time IN-OFFICE ONLY!

MUST HAVE HOSPITAL BILLING EXPERIENCE!!!

$2500.00 SIGN ON BONUS OFFERED BASED ON EXPERIENCE

POSITION OVERVIEW
Are you a seasoned professional with a minimum of 2 years of hospital in-patient and out-patient claims follow-up experience? Join our team as an Insurance Claims Follow-up Specialist, where you'll leverage your expertise in medical collections, denial processing, appeal submission, and EOB review to resolve unpaid claims effectively.

KEY RESPONSIBILITIES:

• The ideal candidate will excel in:
• Insurance billing, follow-up, and verification processes.
• Reviewing correspondence, including refund requests and medical necessity documentation.
• Conducting detailed follow-ups with insurance providers.
• Investigating accounts requiring additional action and resolving unpaid claims.
• Responding to claim denials and verifying reimbursements based on payer contracts.

SALARY AND BENEFITS:

• $18.00 to $25.00 per hour (based on experience).
• Medical/Dental/Vision health insurance offered
• Paid Vacation/Sick/Holiday Time
• 401K

Position Requirements

REQUIRED EXPERIENCE:

MUST HAVE HOSPITAL BILLING EXPERIENCE.

• Denial management and appeals writing.
• Correcting claims (e.g., NDC or coding issues).
• Claims status follow-up.
• Resubmitting denied claims using systems such as Cerner, EPIC, or A2K.
• Retro authorizations (Retro Auth).
• Payment and balance reclassification.
• Using the Change Healthcare billing portal.

QUALIFICATIONS:

• Strong attention to detail with excellent written and verbal communication skills.
• Proven ability to interact effectively with insurance companies and patients.
• Self-motivated and able to work independently.
• Experience with insurance verification processes and carrier websites.
• For remote positions: Reliable high-speed internet is required.
• Ability to work full time or part time during regular business hours (8 AM to 5 PM EST).

ABOUT US:
We are committed to excellence and fostering a collaborative work environment. Visit us at to learn more about our company.

Full-Time/Part-Time
Full-Time and/or Part-Time

Shift
-not applicable-

Company Website

Rate of Pay
$18.00 to $25.00 per hour based on experience

EOE Statement
We are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.


This position is currently accepting applications.