Medicare/HMO Biller Full-Time

Medicare/HMO Biller

We have an opportunity for a Medicare / HMO Biller with 3 -5 years of experience.

Monday – Friday · 9:00am -5:00pm

DESCRIPTION OF DUTIES:

• Check Eligibility via Insurance Websites and/or Telephone
• Billing/Collection
• Medicare/HMO Billing
• A/R follow-up unpaid or denied claims
• Phone calls to insurance, request for Reprocessing
• Denials, Insurance Appeals

Responsibilities:

• Medicare/ HMO Billing
• Claims follow-up
• Working denials
• Determining appropriate next steps based on AR & Aging Reports
• Reading and interpreting EOBs
• Sending Corrected Claims
• Calling insurance companies at various stages of the claims process

Experience:

• Experience in Medicare Billing Required
• Experience in Insurance & MLTC billing preferred
• Familiar with Medicare DDE System

Additional Skills:

– Excellent communication skills
– Confidence talking on the phone to patients and insurance representatives
– Good writing skills
– Ability to multi-task and work in a fast-paced environment without getting distracted
– Self-starter but able to work on a team and take direction
– Understanding of General Ledger
– Posting of Payments

Compensation:

· Competitive salary
· Excellent Benefits Package (medical, dental, vision, 401K)
· Paid Time Off
· Major Holidays Paid

Job Type: Full-time