Medical Biller

Join Our Winning Team!

• SEEKING EXPERIENCED HOME CARE/HOME HEALTH CARE BILLER.
• PLEASE DO NOT APPLY UNLESS YOU HAVE AT LEAST 1 YEAR EXPERIENCE.

We offer our At Home Care family:

Medical, Vision, Dental, and Life insurance

Weekly Pay and Direct Deposit

Top pay wage scale

Paid Time off and holiday pay

Paid Travel

Job Purpose : The Medical Biller, under routine supervision, performs all duties related to preparing and submitting medical insurance claims. This position reviews and adjusts accounts to ensure appropriate claim billing, including interacting with third parties and participants, processes, research, corrects accounts, posts payments, and adjustments, and interprets Explanation of Benefits (EOB) documentation. The ideal individual will be able to exercise sound judgment in various situations, have strong written and verbal communication skills, have administrative and organizational skills, and maintain a realistic balance among multiple priorities.

Job Description

• Prepares and submits clean claims to various insurance companies electronically through EMOMED or the payer portal.
• Processes medical claims by a billing clearinghouse or by paper.
• Gathers insurance billing information by reviewing patient hospital records and checking for completeness.
• Bills the carriers by inputting billing information into the database and initiating electronic transmissions.
• Process claims as they are paid and credit accounts accordingly.
• Resolves disputed claims by gathering, verifying, and providing additional information; following up on claims.
• Resolves discrepancies by examining and evaluating data and selecting corrective steps.
• Adjusts patient bills by reviewing remittance advice and consulting with the payer.
• Monitor payor claim acceptance and response timeliness.
• Contact payors when needed to obtain claim payment updates.
• Correct and resubmit claim denials.
• Escalate claims for potential payor relations bulk resolution.
• Ensure proper charge capture, billing, and adjudication of claims per federal, state, and private billing guidelines.

Qualifications

• 1 year of Healthcare Missouri Medicaid medical claims processing or billing experience required
• Ability to effectively manage workload in a high-volume environment, strong attention to detail
• Working knowledge of PC applications (Microsoft Office Suite- Excel, Word)
• Strong ability to compute percentages and essential math functions
• Practical oral, written, and interpersonal communication skills