Job Title

Medical Biller - Remote EST Time ZoneYour job would involve:• Primarily remote work with meeting in person on a necessary basis• Verify coverage and eligibility for medical services• Communicate with insurance providers and patients• Review patient bills and correct any missing or inaccurate information• Use a billing software to prepare and transmit claims• Clear up balance discrepancies• Investigate and appeal claims that were denied• Complete data entry to update spreadsheets and reports• Work with patients to set up payment plans• Adapt to updates and changes in billing software• Process denial management for claims rejected by the Insurancecompanies• Create and maintain licensing, credentials and insurance records• Conduct research on updated state and federal regulations and policies• Release information to requesting agencies and public inquiries whenrequired by law• Help develop internal credentialing processes• Monitor license and credential expiration dates and advise staff membersof required “renew by” dates• Ensure the facility and staff members are maintaining compliance withregulatory and accrediting institutionsWhat You Should Have:• Proficiency with computers and medical billing software• Knowledge of unfair debt collection practices and insurance guidelines• Understanding of primary code classifications: ICD-10-CM, ICD-10-PCS,CPT and HCPCS• Communication skills with patients/healthcare companies• Basic accounting and bookkeeping practices• Bachelor's or Associate's degree preferred• Minimum of 5 years of healthcare billing and credentialling experience• Passion for healthcare and technology• Exceptional written and verbal communication skills• High degree of professionalism• Strong customer relationship management skills• Ability to foster strong, positive relationships• Proven ability to set goals and meet deadlines• Understanding of healthcare billings and credentialling industry• Certified Provider Credentialing Specialist (CPCS) certifications – Is a plus