Medical Biller

1 Hour ago • All levels • $42,000 PA - $52,000 PA

Job Summary

Job Description

The Medical Billing Specialist is responsible for accurately posting medical charges, payments, and journal entries to patient accounts. This role involves direct interaction with insurance companies, healthcare providers, and patients to facilitate claim processing and payment. Key responsibilities include verifying insurance information, identifying and resolving coding problems, preparing and transmitting claims, following up on unpaid claims, researching and appealing denied claims, and ensuring compliance with HIPAA regulations. The specialist will also handle eligibility verification, claim status inquiries, charge entry, posting ERAs and EOBs, and denial management. This role requires a strong understanding of insurance guidelines including HMO/PPO, Medicare, and state Medicaid.

Must have:

Post medical charges, payments, and journal entries accurately.
Verify correct insurance filing information.
Prepare and transmit claims using billing software.
Follow up on unpaid claims within the billing cycle.
Handle protected health information in compliance with HIPAA.

Good to have:

Credentialing knowledge would be an added advantage.
Denial management should be known.

Perks:

Medical, Dental & Vision Insurance
401(k) with Company Match
Hybrid work set up

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Job Details

Job description

About Neolytix

Neolytix is a boutique Consulting and Management Services Organization that works with small & medium-sized healthcare providers across the United States. Our portfolio of services caters to micro verticals and is built on the expertise we have developed in enabling these practices.

Working at Neolytix

At Neolytix, you will learn to hone your Consultative skills, develop drive & leadership, balance work with family time and importantly have fun!

About this Position

Medical Billing Specialist is responsible for Posting medical charges, payments, and journal entries to patient accounts in a timely and accurate manner.

Work directly with the insurance company, healthcare provider, and the patient to get a claim processed and paid.
Verifying correct insurance filing information on behalf of the client and patient
Verifying receipt of all patient registration data from the client and notifying the client of potential coding problems.
Prepare, review, and transmit claims using billing software, including electronic and paper claim processing.
Follow up on unpaid claims within the standard billing cycle time frame.
Research and appeal denied claims.
Meet individual and departmental standards with regard to quality and productivity.
Ability to handle protected health information in a manner consistent with the Health Insurance Portability and Accountability (HIPAA).
Check eligibility and benefit verification.
Review patient bills for accuracy and completeness and obtain any missing information
Prepare, review, and transmit claims using billing software, including electronic and paper claim processing.
Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid.

Responsibilities and Duties

Able to perform eligibility verification, precertification, through the web or verbally with insurance companies.
Calling insurance companies and obtaining claim status with different payers & documenting it in the system.
Should be able to read superbills and make charge entry in PMS.
Ability to post ERA (Electronica Remittance Advice) & EOB (Explanation of Benefits) from various systems and websites.
Credentialing knowledge would be an added advantage
Denial management should be known.

Job Type: Full-time

Compensation & Benefits