Medical Biller

Medical Biller - A/R
Baltimore, MD

MUST:
Experienced Medical Biller
5+ years of experience in a medical billing office and resolution of rejections
Must have collections and A/R experience
Must have strong appeals and denials experience
Must have A/R follow up experience
Must have experience handling payment refunds and Adjustment
Must have a strong understanding of EOBs
Knowledge of Client/Athena, EPIC, or similar computerized billing system
Knowledge of ICD-10 and CPT coding
Knowledge of government, commercial, HMO, PPO, and other types of insurance guidelines. Importance of compliance with government regulations regarding medical billing
High school diploma or general education degree (GED) preferred

DUTIES:
Medical Biller Pathology will be responsible for, but not limited to the following:
Serves as lead worker and trainer for junior level staff.
Enters charges accurately and timely, ensures charges are balanced and reconciled within department guidelines.
Reconciles posted and edited payments against the ERA (Electronic Remittance Advice).
Manually posts payments, contractual adjustments, and rejections from EOBs.
Reconciles deposits against bank statements and major vendors, Balance Client/IDX daily.
Breakdown of deposits by payer or FSC.
Reviews and resolves credit balance if refunds or contractual adjustments are needed, or charge correction performed.
Performs AR follow up on rejected claims.
Perform other duties as directed by manager.