Medical Biller and Coder

Job Description

Job Description

Neurology and pain management office is seeking an experienced medical biller. The ideal candidate will have a strong background in medical billing and coding, with the skills necessary to increase collections and reduce A/R days by effectively working denied claims. The successful applicant must have excellent communication skills, be a great team player and demonstrate a high level of professionalism.

• Monitor aging to ensure timely follow-up of claims resolution, reduction of future denials, ensuring accurate payment and escalation of issues to management as identified
• Must be able to interpret payer explanation of benefits (EOBs) to ensure proper reimbursement of claims, and report any problems, issues, or payer trends to management
• Conduct insurance re-verification as needed through various tools and initiate billings to a new payer or reprocess the claim accordingly, or bill patient
• Research payer guidelines and write and submit appeals as appropriate

Required Skills and Experience:

• Experience in CPT and ICD-10 coding
• Claims appeal and resolution experience
• Payment posting and accounts receivable knowledge
• Familiarity with medical terminology
• EMR experience preferred Epic
• 2 years medical billing experience