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.
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