Qureos Mentor

Buffalo Optique

The primary function of the Medical Biller is to work all rejected/outstanding claims for all assigned accounts receivable on order to maintain/maximize reimbursement for services provided to patients.Specific Job Responsibilities:<ul><li>Accurately review and process medical claims for insurance reimbursement</li><li>Submit electronic and paper claims</li><li>Track payments and retrieve EOBs (explanation of benefits)</li><li>Apply/post payments</li><li>Investigate and resolve billing discrepancies, denials, and rejections</li><li>Follow up on unpaid claims and aging accounts receivable to ensure timely payment</li><li>Communicate with insurance companies, patients, and healthcare providers to address billing inquiries and disputes</li><li>Maintain up-to-date knowledge of medical billing regulations, coding guidelines, and insurance policies</li><li>Ensure compliance with HIPAA regulations and patient confidentiality standards.</li><li>Follow up on all daily correspondence received on a timely basis.</li><li>Verify patient&rsquo;s insurance information using insurance company portals, phone calls and/or letters to patients and/or insurance carriers and/or their websites.</li><li>Thoroughly research all information needed to complete billing process including charge information from physicians and/or requesting medical records.</li><li>Re-bill accounts once appropriate changes have been made to correct the denied claim and submits corrected electronic or paper claims to the appropriate insurance carrier.</li><li>Reviews EOB's for denial or partial payment information.</li><li>Interact with insurance companies to resolve issues delaying the collections of accounts.</li><li>Research any unpaid balances and resolves payment on denied or partial paid claims.</li><li>Ensures accurate entry of all work into all systems.</li><li>Receives and respond to patient and office calls regarding patient accounts on a timely basis.</li><li>Responsible to keep up to date with current insurance billing requirements and changes by reading payer newsletters and other publications.</li></ul>TEAMWORK<ul><li>Consistently work in a positive and cooperative manner with fellow team members.</li><li>Assists other team members in the performance of their assignments.</li><li>Considers the impact of your actions on team members throughout the organization.</li></ul>PROBLEM SOLVING<ul><li>Demonstrate sound judgment by taking appropriate actions regarding questionable finding or concerns.</li><li>Consistently evaluates work and determines if further steps are needed to meet patient and practice expectations.</li><li>Ensures compliance with regulatory standards.</li></ul>Job Type: Full-timePay: $18.00 - $30.00 per hourExpected hours: 20 &ndash; 40 per weekBenefits:<ul><li>401(k) matching</li><li>Flexible schedule</li><li>Health insurance</li><li>Paid time off</li></ul>Experience:<ul><li>CPT coding: 3 years (Preferred)</li><li>ICD-10: 3 years (Preferred)</li><li>EMR systems: 3 years (Preferred)</li></ul>Ability to Relocate:<ul><li>Buffalo, NY 14221: Relocate before starting work (Required)</li></ul>Work Location: In person

Medical Biller

Join Buffalo Optique and explore 1   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Buffalo Optique

ABOUT_COMPANY

Medical Biller