Medical Biller

Job Description

Job Description

Sign-On Bonus: Up to $500!

• $250 after 90 days
• Additional $250 after 6 months

Compensation starts at $17 - $18/hour(based on experience and qualifications)

Duties and Responsibilities

• Verify Medicaid and other insurance eligibility through electronic systems and online payer portals.
• Remain informed about changes and updates to guidelines and regulations related to Medicaid Waiver Services billing and communicate relevant updates to management as necessary.
• Update and maintain Client Billing Information Sheets with new authorizations and other required information using secure company databases or electronic record systems.
• Verify clients, tiers, and authorization dates monthly with department heads through virtual communication methods such as email, secure messaging, or video meetings.
• Track weekly service hours for all clients and enter data into electronic billing logs for each program.
• Prepare, review, and transmit claims through Medicaid and other insurance billing software using secure remote system access.
• Update and maintain billing logs with current service rates and procedure codes to ensure accurate claim submission.
• Monitor denied claims, research causes for denial, and submit appeals or corrections in a timely manner through payer portals or billing software.
• Prepare and submit weekly reports regarding pending claims and claim status to management via email or shared reporting systems.
• Maintain strict confidentiality and security of client information in compliance with HIPAA (Health Insurance Portability and Accountability Act) regulations and organizational policies while working remotely.
• Ensure compliance with company policies regarding secure remote access, password protection, and proper handling of electronic records.