Medical Biller

Roessel Joy has partnered with a well-known healthcare service to hire a Billing Specialist. In this position, you would be working on a team of 15 medical billers. The ideal candidate would have experience with insurance/third party billing (i.e. medicade). Looking to fill this role ASAP!

Responsibilities:

• Facilitate credentialing of new clinicians with Medicare and Medicaid.
• Liaise with clinicians and staff of our Mental Health and Addiction Services Outpatient Clinics to verify compliance with established workflow processes involving patient-related forms and reports that support accurate and timely billing.
• Maintain an in-depth understanding of Medicaid and Medicare provisions and updates, as well as all managed care contractual requirements.
• Liaise with outside billing company to ensure their awareness and compliance with all applicable requirements.
• Perform review and reconciliation of Medicaid, Medicare and insurance remittances, and prepare weekly deposits for billing company.
• Review and troubleshoot Medicaid payment denials as warranted.
• Establish and maintain relationships with HMO/insurance providers, filing provider applications on behalf of agency, and reviewing contract proposals.
• Compile, develop, and analyze periodic reports for use by management, auditors and agency programs in Excel.

Qualifications:

• At least 3-5 years’ relevant experience performing and coordinating government and third-party insurer billing processes in a managed care environment, some of which is in a functional oversight-level role;
• Manage external vendor relationship, ensuring accurate/timely workflow in a multi-priority, deadline environment.
• Must have strong Microsoft Office skills, especially in Excel.
• Third Party Billing Experience.
• Medicare or similar insurance billing experience.

Job Types: Full-time, Contract

Pay: $15.00 - $22.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Work Location:

• One location

Work Remotely:

• No

Work Location: One location