Crofton, Maryland
Medical Biller Job Opening in Crofton, Maryland - Randstad is searching for a professional medical biller to be responsible for the timely submission of technical or professional medical claims to insurance companies.
Responsibilities may include but are not limited to the following:
Obtain referrals and pre-authorizations as required for procedures
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
Follow up on unpaid claims within standard billing cycle timeframe
Check each insurance payment for accuracy and compliance with contract discount
Call insurance companies regarding any discrepancy in payments if necessary
Identify and bill secondary or tertiary insurances
All accounts are to be reviewed for insurance or patient follow-up
Research and appeal denied claims
Answer all patient or insurance telephone inquiries pertaining to assigned accounts
Set up patient payment plans and work collection accounts
Update billing software with rate changes
Updates cash spreadsheet, runs collection reports
****Please directly apply to this posting AND email your resume to Lauren at ****
Working hours: Fulltime
Skills:
Knowledge, Skills, and Abilities
Knowledge of HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
Use of computer systems, software, 10 key calculator
Effective communication abilities for phone contacts with insurance payers to resolve issues
Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds
Able to work in a team environment
Problem-solving skills to research and resolve discrepancies, denials, appeals, collections
Knowledge of accounting and bookkeeping procedures
Knowledge of medical terminology likely to be encountered in medical claims
Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, or permanent opportunities, no one works harder for you than Randstad. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.
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