Medical Claims Biller
Company: ChiroTouch
Location: Duluth
Posted on: June 23, 2022
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Job Description:
The Medical Claims Biller manages timeliness and accuracy of
scheduled EDI/Paper claim submissions for multiple billing company
clients as well as clearinghouse rejections and report
reconciliation process against billing software.
Responsibilities
* Ensure all EDI/Paper claims are reviewed for accuracy prior to
payor submission
* Audit and reconcile EDI claims batches to ensure payor acceptance
and balancing
* Process all EDI claim rejections and resubmissions in a timely
manner
* Ensure software reports regarding unbilled claims are worked as
scheduled and issues resolved
* Work effectively with clients/staff to resolve any payor edits,
rejections and/or errors that effect timely claims submissions
* Report claim related issues to clients and/or staff for
corrections
* Retain fax transmittal acceptance reports for all paper claims
submitted via fax
* Ensure proper handling of timely filing submissions for paper
claims
* Review paper claims submissions to ensure accuracy prior to
mailing
* Ensure medical record attachments are signed prior to
submission
* Provide billing reconciliation reports to team lead/department
manager
* Demonstrate high level of professional integrity when
communicating with payors, clients and other staff
* Consistently meet/exceed insurance billing benchmarks
* Provide swift escalation to clients and/or management that have
negative implications related to claims submissions
* Comply with HIPAA guidelines regarding PHI
* Communicate department backlogs and develops action plans
accordingly
Qualifications
* Minimum of 2 years billing experience with EDI/Paper Claim
Submissions
* Minimum of 2 years working with Clearinghouse claims processing
and rejection/corrections
* Comprehensive understanding of claims requirements by payor
* Thorough knowledge of commercial, government, workman's
compensation and Auto payor claim process
* Exceptional understanding and adherence with payor specific
billing guidelines
* Exceptional organizational skills
* Ability to multi-task and deal with high volume claims
processing
* Good typing skills and experienced with office productivity tools
such as MS Word, Excel, and Outlook
* Prior knowledge of Chiropractic Billing and Chiropractic Software
is a definite plus
Keywords: ChiroTouch, Roswell , Medical Claims Biller, Healthcare , Duluth, Georgia
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