Job Description
Job Description
Medical Biller
McLean, VA
MUST:
Experienced Medical Biller
3 plus years of experience as a Medical Biller
Must have charge poster experience
Must have experience with CPT and ICD-10 coding
Must have EMR experience
Must be a problem solver and able to troubleshoot independently with little supervision
Knowledge of Integrative Medicine and/or Fee for Service is highly preferred
DUTIES:
Medical Biller will be responsible for, but not limited to the following:
Daily posting of charges and payments
Scanning of fee slips and EOBs, deposits, claims submissions
Follow up on accounts when no response from the insurance carriers has been received.
Gather information regarding other pending claims on account and check status of claims utilizing the websites for various insurance companies.
Research, identify, and rectify any special circumstances or denial trends affecting resolution of patient account and provide the finds to the practice manager.
Identify and create batches for necessary billing adjustments.
Review statements and communicate the specific manner in which the claim processed with patients.
Contact insurance companies by phone, email, fax, and written correspondence to resolve issues preventing claims from being processed correctly, including verifying benefits and eligibility dates.
Working various denials from insurances including coverage in question, medical necessity, bundling, non-covered procedures, incorrect coding, credentialing, etc.
Communicate with coding staff to verify claims have been coded correctly and appeal claims that have been paid incorrectly.
Other duties as assignedQuadrant is an affirmative action/equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, status as a protected veteran, or status as an individual with a disability. “Healthcare benefits are offered to all eligible employees according to compliance mandated by the Affordable Care Act“.