An actively growing U.S. medical billing company specializing in out-of-network claims across a vast array of practice specialties is looking to hire qualified applicants living in Israel as Medical Billers:
Primary Job Duties: includes but is not limited to physician
medical claims follow up with insurance companies for current claim/EOB
statuses, patient communications regarding outstanding balances and EOBs
Responsibilities:
•
Strong communication skills
and comfortable speaking to insurance companies/patients.
•
Ability to work
independently and collaboratively within a team environment.
•
Able to multi-task, shift
priorities and meet tight deadlines.
•
Excellent problem-solving
skills.
•
Flexibility to shift
priorities and multitask.
•
Proficiency in Microsoft
Office Suite (emphasis on Excel, Word and Outlook).
•
Proficiency with electronic
medical records (EMR).
•
Familiarity with billing
software – Imagine.
•
Familiarity with
clearinghouses – Change Healthcare (Emdeon).
•
Strong knowledge of MS
Access.
•
Ensure department is up to
date with coding practices.
•
Possess a strong knowledge
of physician billing, ICD-10, CPT coding.
•
Analyzes provider
documentation to assure the appropriate Evaluation & Management levels are
assigned using the correct CPT code.
•
Assists billing team
establish the medical necessity of charges.
•
Completes follow-up on
outstanding insurance claims directly with payers.
•
Completes incoming
correspondence from patients and insurance companies.
•
Works through coding or
billing issues by working EOBs to correct the errors in a timely manner.
•
Escalate problem accounts
to management team of department for assistance and resolution.
•
Properly documents the
patient account of all steps taken to resolve the balance.
•
Post charges and completion
of claims to payers in a timely fashion.
•
Convert dosages to billable
units.
•
Submit billing data to
insurance providers.
•
Work claims and claim
denials to ensure maximum reimbursement for services provided.
•
Perform Medicare/Medi-Cal
reviews and audits.
•
Implement, maintain and
report on programs initiated by the practice.
•
Familiarity with Medicare,
Medicaid, Commercial and Managed Care Plans.
•
Experience in NF/WC
follow-up is a must.
•
Performs other duties as
assigned.
Requirements:
•
1 year of medical billing
experience is preferred.
•
High School Diploma or GED
required
•
Medical Coding: 3 years
(Preferred)
•
Medical Billing: 5 years
(Required)
•
Certified Profession Coder
(Required)
•
Knowledge of the ICD-10,
ICD-9, and CPT-/HCPCS universal coding systems.
•
Knowledge of coding and
clinic operating policies.
•
Knowledge of insurance
carrier coding requirements to ensure proper coding based on license and
specialty.
•
Knowledge of third-party
billing procedures across a variety of payer systems.
•
Must work effectively with
insurance companies and other outside parties.
•
Follow up phone calls to
insurance companies and patients
•
Miscellaneous tasks:
includes interaction with physicians and office personnel regarding outstanding
issues.
•
Knowledge of third-party
billing procedures across a variety of payer systems.
•
Must be organized, able to
prioritize tasks and handle multiple projects
•
Accuracy and attention to
detail is essential
•
Must be able to work
independently and as a team player
•
Must be proficient in
Microsoft Office (i.e., Excel, PowerPoint and Word)
•
Exceptional communication
skills (verbal and written).
•
Communicates with
professionalism and accuracy and maintains courteous working relationships with
coworkers
•
Maintains and conforms to
all Privacy Laws regarding patients and practice