Our client is looking for an experienced medical biller to work in their office. Experience with QS1 software is hihgly preferred.

ESSENTIAL FUNCTIONS/COMPETENCIES

• Validates the accuracy of all billed charges and of all new patient reimbursement files including complete patient, responsible party and insurance information by reviewing the order edit and billing edit lists and noting any necessary changes, fixes or additions.
• Prepare, format and mail all insurance claims according to specific contract/payer requirements.
• Remains knowledgeable of third-party payer contracts, federal and state medical coverage programs and requirements as well as being knowledgeable on HIPAA regulations and guidelines.
• Receives and verifies all payments, adjustments, and patient balances to ensure receipt of proper payment according to contractual allowable. Records any necessary adjustments.
• Review and mail monthly billing statements.

KNOWLEDGE, SKILLS AND ABILITIES:

• Knowledge of the current healthcare climate, including current coding practices in regards to billing and processing, HIPAA standards and governmental program regulations.
• Ability to communicate effectively both verbally and in writing.
• Must have the ability to work independently to effectively and efficiently perform assigned duties.
• Experience with medical insurance plans and types of benefit coverage.
• Familiar with ICD-9, CPT and HCPC coding