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Medical Biller - Lead

Quadrant, Inc.
United States, Virginia, Mechanicsville
Feb 04, 2025
Medical Biller - Full Cycle

Mechanicsville, VA

Pay From: $23 per hour

MUST:

The experienced Medical Biller will have experience:

Full cycle medical billing

ECW (E-Clinical Works) electronic medical records experience

Prefer someone with Family Medicine or Primary Care Medical Billing experience

2 plus years of experience (must have) working specifically in a medical billing capacity

Collections, and Accounts Receivable are a must have

Electronic Medical Records (EMR) experience is required,

Requires knowledge of ICD-10 medical coding

DUTIES:

Comprehensive knowledge of all procedures, systems, and equipment used as well as a high level of proficiency in data entry, data control, and scheduling and processing of batch work at a level generally acquired during two to three years medical billing experience

Maintain cooperative working relationships with department personnel, including staff and physicians, and outside personnel including patients and third-party payers

Requires knowledge and ICD-10 medical coding and familiarity with referral authorizations and third-party billing procedures

Daily entry of charges and posting of receipts

Preparing reports for daily balance of charges and receipts

Assurance that timely patient billing and up to date third party claims are completed, including charge posting and electronic claims filing

Daily submission of electronic claims with review denials

Preparing monthly customer collection list of patient billings, fees, and credit. -Receives and reviews billing documents and ensures accuracy

Communicating with insurance companies and customers to resolve issues related to insurance claims, submission of payments, as well as requesting information needed to complete account transactions, addressing urgent requests and/or resolving outstanding account issues

Insurance benefits verification and authorization

Data entry and electronic claim filings

Experience with out of network claims and appeals

Following up on claims, denials and rejections, and resolving issues

Writing claim appeals

Hands-on experience in CPT/ICD codes, insurance reimbursement process, electronic claim submission, follow-up and collection, EOB

Strong knowledge of medical practice processes and operation (knowledge of reconstructive procedures is a plus)

Team player and comfortable in multi-tasking and working under pressure

Accurate maintenance and storage of electronic records

Copying, faxing, scanning and organizing of specified documents


Quadrant is an affirmative action/equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, status as a protected veteran, or status as an individual with a disability. "Healthcare benefits are offered to all eligible employees according to compliance mandated by the Affordable Care Act".

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