Medloop a large multi-specialty medical billing company servicing many clients across the US mostly in NY/NJ is looking for a talented and highly motivated Medical Billing Representative to resolve billing issues and work directly with clients to identify and manage efficient billing processes for optimal A/R outcomes. They also manage a broad array of projects in relation to claims resolution, payer tracking, website access, claims status inquiries, and direct carrier contact.
RESPONSIBILITIES:
Serve as a liaison between patient, insurer, and practice
Follow-up on patient accounts to assure claims for patient charges submitted to insurance companies are paid in a timely fashion
Initiates prior authorization for all procedures requested by staff, providers, and or insurers.
Prioritize and organizes all prior authorization activities
Documents all prior authorization activities and record activity
Excellent communication and organizational skills with a customer service focus
Ability to read and understand EOB’s and ERA files
Processing appeals
Analyze and research denials
Knowledge of CPT and ICD10 coding requirements
Previous experience in a medical industry Is required
Understanding of refunds/take-backs
Knowledge of medical terminology
Must have the ability to maintain confidential information
Must have the ability to multitask and take initiative
Must be able to identify and communicate billing inconsistencies
REQUIRED MINIMUM QUALIFICATIONS:
High school diploma, or equivalent
2 years of medical billing experience, or medical billing training, or other experience in a healthcare setting