Medical Biller

Duties and Responsibilities: Credentialing: Review and process therapists initial credentialing packets and supporting documentation. Follow up with therapists to ensure all information is obtained. Complete and process payer enrollment applications for therapists for Medicare/Medicaid/commercial insurances/managed care or other plans. Complete timely follow up on all applications. Maintain therapist profiles and NPI•s, CAQH and internal spreadsheets. Ensure that re-credentialing is complete timely to prevent any lapse in enrollment. Monitor and maintain current documents (licenses, malpractice insurance). Maintain confidentiality of all therapists information Billing: Verify coverage and eligibility for medical services Post charges and payments to correct accounts Obtain pre-authorization for certain procedures Communicate with insurance providers, therapists and clients Review patient bills and correct any missing or inaccurate information Use billing software to prepare and transmit claims Collect unpaid claims and clear up discrepancies by telephone, fax or email communication Use of insurance carrier portals for eligibility and claims information Investigate and appeal claims that were denied Complete data entry to update spreadsheets and reports Work with clients to set up payment plans Required Skills: Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems Competent use of computer systems, software and EHR•s. Familiarity with CPT Coding Experience with behavioral health billing Experience with behavioral health credentialing Effective communication skills Exceptional Customer Service skills for interacting with patients regarding medical claims and payments, including communication with patients and family members Ability to work well in a team environment Ability to triage priorities and handle conflict in a reasonable fashion Problem-solving skills to research and resolve discrepancies, denials, appeals, collections Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Ability to multitask At least 2 years recent medical billing experience At least 2 years credentialing experience Candidate must agree to a background check AppleOne is proud to be an Equal Opportunity Employer. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment qualified applicants with arrest and conviction records.

Salary : $0 - $45,000