Experienced Medical Claims Biller II

Experienced Medical Claims Biller II

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 to learn more about our company.