Job Overview:
Pay Range: $17.54hr - $22.54hr
Requirement/Must Have:
- High school diploma.
- 3+ years of related work experience.
- Experience with medical billing and coding.
- Ability to prioritize handling of issues.
- Organization skills and ability to multitask.
- Strong verbal and written communication skills.
Responsibilities:
- Review medical claims and transmit to the insurance carrier using the practice electronic health records (EHR) system and clearing house.
- Monitor rejected claim reports and adjust claims for resubmission to the insurance carrier.
- Download insurance carrier explanation of payments (EOPs) to post claim payments and denials in the EHR system.
- Determine if denied claims can be corrected and re-submitted to the carrier.
- Review aging reports to research open balances and resubmit within insurance carrier filing limits.
- Utilize insurance carrier websites and contact carriers as needed to investigate denials and claim status.
- Partner with the clearing house to distribute patient billing statements and monitor the patient portal to post payments in the EHR system.
- Initiate overpayment refunds to patients and repayments to insurance carriers when required.
- Serve as the point of contact for the practice regarding all vision and medical claims.
- Support the corporate manager in maximizing claim collection rate.
- Monitor insurance carrier adjudication of medical claims for one or more doctor practices.
- Utilize a practice EHR system and clearing house to review and submit claims to multiple medical insurance carriers.
- Review open/unpaid claim balances and take required action.
Nice to Have:
- Experience working in multiple doctor practices.
- Experience working with multiple insurance carriers and an understanding of their claim requirements.
- Proven ability to identify issues and solve problems.
Skills:
- Medical Billing.
- Medical Coding.
- Electronic Health Records (EHR).
- Clearing House Operations.
- Claim Adjudication.
- Aging Reports.
- Insurance Carrier Portals.
Qualification And Education:
Benefits:
Our Benefits Include:
- Medical, Dental, and Vision Insurance
- 401(k) Retirement Plan
- Health Savings Account (HSA)
- Disability Insurance (Short-Term and Long-Term)
- Life and AD&D Insurance
- Paid Sick Leave (where required by applicable state or local law)
- Supplemental Insurance Plans
- Identity Theft Protection
- Pet Insurance
- Employee Wellness Programs
- Employee Assistance Program (EAP)
- Career Growth and Professional Development Opportunities
Disclaimer: Benefits eligibility, accrual rates, and usage limits may vary based on employment status, length of service, and work location. Paid Sick Leave is provided in strict accordance with applicable state and municipal mandates. Cynet Systems Inc. reserves the right to modify, amend, or terminate any benefit plans at any time in accordance with applicable laws.
About Cynet Systems
Founded in 2010 and headquartered in the Washington, DC metro area, Cynet Systems Inc. is a leading technology staffing and workforce solutions company serving Fortune 500 companies, government agencies, and enterprise organizations across the United States and Canada. We deliver agile, scalable talent solutions across IT, engineering, life sciences, clinical, and professional staffing, powered by a high-performing recruitment engine operating across North America and Asia.
As a nationally and locally certified Minority Business Enterprise (MBE), Cynet Systems is committed to helping organizations build high-performing teams while empowering professionals to grow rewarding careers. Our organization is certified to ISO 9001, ISO 14001, ISO 27001, and SOC 2 Type II standards, reflecting our commitment to quality, security, operational excellence, and customer success.