Job Description
We are ramping up our Billing department and have multiple openings available now for the Medical Biller position. Training provided!
At Experity, we offer much more than just a job. Here's what you can expect: - Comprehensive Benefits : Enjoy full coverage from day one, including Medical, Dental/Orthodontia, and Vision plans.
- Paid Time Off (PTO) : Recharge and relax with our generous PTO plan, which increases with milestones, ensuring you have plenty of time for yourself and loved ones.
- Ownership Opportunity : After one year with us, all full time Team Members are eligible for synthetic ownership, with real financial rewards tied to the company's success!
- Employee Assistance Program : Our robust program covers counseling, legal assistance, financial education, pet adoption support, identity theft resolution, and much more.
- Flexibility : We understand the demands of balancing work, family, and life. That's why we offer flexible work scheduling to help you achieve the perfect work-life balance.
- Career Development : Our learning program foundation supports your growth and helps you achieve your career goals.
- Team Building : We believe in bringing our Team Members together to strengthen bonds, foster relationships, and, of course, have fun! From family picnics to holiday parties, we make sure to build a strong sense of community.
- Total Compensation : Enjoy competitive pay, quarterly bonuses, and a 401(k) retirement plan with an employer match after 90 days of employment, ensuring your financial security both now and in the future.
Join us at Experity and experience a workplace where you're valued, supported, and empowered to thrive!
Onsite: This position will be onsite Monday - Friday at our Machesney Park office.
Pay: $20 hourly
Job Type: Full time
Work Schedules: Monday - Friday
- 7:30 am - 4:00 pm
- 8:00 am - 4:30 pm
- OT available after training if requirements are met
Responsibilities: - Applies payments and adjustments to patient accounts as appropriate.
- Counsel patients regarding financial obligations related to account balances.
- Follow up with insurance payers for processing of appeals and errors including paper appeals or online portal entry as needed.
- Receive and resolve inquiries, concerns, or complaints related to patient accounts from patients, insurance carriers, employers, etc.
- Responsible for resolution and appropriate refunding of credit balances. Includes working credit balance reports as needed.
- Responsible for the review and resolution of denied claims on EDI reports.
- Responsible for timely review and release of charges on hold.
- Review and coding of patient medical record in compliance with standard coding guidelines.
- Review explanations of benefits for correct adjudication and payment according to applicable managed care contract terms and reimbursement.
- Review of unpaid claims, researching denials, and/or lack of activity to ensure timely payment and maintain cash flow.
- Review and update patient and insurance demographics as appropriate.
- Understand CPT, ICD-10, and HCPCS coding.
- Provide feedback to providers regarding documentation in medical records.
- Review and resolve EDI rejections and payer denials.
- Print and mail corporate statements and secondary claims.
- Review coding denials.
- Other duties as assigned.
Education and Experience: - High school diploma or equivalent
Preferred: - One year experience in customer service
- Experience in a physician office
- Knowledge of medical terminology
Every Team Member lives and breathes our Core Values: - Team First
- Lift Others Up
- Share Openly
- Set and Crush Goals
- Delight the Client
Experity
Job Tags
Hourly pay, Holiday work, Full time, Contract work, Flexible hours, Monday to Friday,