Job Description
Are you a detail-oriented professional with a passion for healthcare administration?
Advanced Healthcare Systems is seeking a skilled and dedicated Medical Biller to join our dynamic team in Columbus, OH. You will play a critical role in our revenue cycle management, ensuring accurate billing, timely reimbursement, and exceptional patient satisfaction. If you thrive in a fast-paced environment and want to make a tangible impact in the healthcare industry, we want to hear from you.
Why Join Us?
- Competitive salary and comprehensive benefits package.
- Opportunities for professional growth and certification support.
- A collaborative and supportive work culture.
Your Role:
As a Medical Biller, you will be responsible for the full lifecycle of medical billing and coding, from verifying patient information to submitting claims and resolving discrepancies. You will work closely with our clinical and administrative teams to ensure a seamless financial process for our facility.
Responsibilities
- Claims Management: Accurately review, code, and submit medical claims to various insurance payers (Medicare, Medicaid, Commercial) to ensure maximum reimbursement.
- Accounts Receivable (AR): Monitor and manage accounts receivable, follow up on outstanding balances, and initiate collection efforts when necessary.
- Patient Billing: Verify patient insurance eligibility and benefits prior to services and handle patient inquiries regarding statements and billing discrepancies.
- Error Resolution: Identify, appeal, and resolve denied or rejected claims by analyzing denial reasons and correcting data.
- Software Proficiency: Utilize Electronic Health Records (EHR) and billing software (e.g., Epic, Cerner, AthenaHealth) to document billing activities and track financial performance.
- Compliance: Ensure all billing practices comply with federal and state regulations, including HIPAA and OIG guidelines.
Qualifications
- Certification: Certification as a Certified Professional Coder (CPC), Certified Billing and Coding Specialist (CBCS), or Certified Medical Reimbursement Specialist (CMRS) preferred.
- Experience: 1-3 years of proven experience in medical billing, claims processing, or healthcare revenue cycle management.
- Technical Skills: Strong working knowledge of ICD-10 and CPT coding guidelines, medical terminology, and insurance claim forms (CMS-1500).
- Software: Proficiency in Microsoft Office Suite and experience with EHR systems and Practice Management Software.
- Attention to Detail: Exceptional attention to detail with the ability to detect errors and ensure data accuracy.
- Communication: Strong verbal and written communication skills for interacting with patients, insurance companies, and internal staff.