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Facility Medical Biller

Medical Billing Choice (MBC), West Palm Beach, FL

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JOB SUMMARY: The Facility Medical Biller is responsible for the posting, submission, collection and management of Facility/Rehab claims for reimbursement.

DUTIES AND RESPONSIBILITIES:

  • Responsible for Explanation of Benefits (EOB) interpretation, balancing insurance and patient payments.
  • Conducts verification and benefit eligibility.
  • Performs utilization review according to the Company’s policies and procedures.
  • Ensure proper balancing of outstanding account balances together with appeals and denials.
  • Prepares adjustments and credits according to Company’s policies and procedures.
  • Facilitate timely and accurate posting of charges and the submission of manual and electronic claims.
  • Identify and resolve insurance concerns.
  • Timely review and follow up of accounts receivables.
  • Identify trends impacting charges, collection and accounts receivable and escalate to management.
  • Review and appeal unpaid or denied claims.
  • Responsible for obtaining and analyzing daily balancing reports and identify accurate charge and payment posting.
  • Responsible for achieving billing company’s weekly/monthly/ quarterly/annual goals.
  • Maintains confidentiality of compliance with all company and patient information in accordance with federal, state and local regulations, HIPAA regulations and Company policies.
  • Performs other duties as assigned.

Education:

  • High School or General Equivalency Diploma
  • Degree or Certificate in Medical Records, Healthcare Billing, or related major (preferred) 

Experience:

  • Minimum 3 years’ experience with medical billing in healthcare reimbursement or medical insurance/billing related work
  • Demonstrate strong knowledge of rehab treatment and pain management billing required
  • Demonstrate knowledge and understanding of Explanation of Benefits (EOB’s) or Electronic Remittance Advice (ERA)
  • Experience with Electronic Health Record (EHR) and medical billing software (e.g. Practice Admin, CollaborateMD, Medical Mime or Practice Fusion)

Skills:

  • Familiarity with medical terminology
  • Excellent customer service skills
  • Exceptional attention to detail and organization skills
  • Strong work ethic and desire to work effectively with external customers, co-workers and management
  • Ability to read, understand and follow oral and written instructions
  • Good verbal and written communication skills

Work Environment and Physical Demand: General office environment

Job Application

Position: Facility Medical Biller

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