Medical Biller Lead - FT , 5+ Years Exp
About the position
The Medical Biller Lead position at PGM Billing, LLC is a full-time role focused on supporting the manager in various billing tasks within a medical billing company. The ideal candidate will have over 5 years of experience in revenue cycle management and will be responsible for handling billing tasks, denial management, and assisting staff in resolving issues. This role requires in-office work and emphasizes the importance of accuracy and communication in a fast-paced environment.
Responsibilities
Support manager in account specific work such as billing out claims, working rejections and denials, posting payments, A/R follow-up and denial management.
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Investigate complex denials that other staff may be unable to resolve by locating payer policies and evaluating coding problems.
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Access insurance carrier portals or third-party intermediary portals to track down denial reasons and/or payment details.
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Learn and master the use and functionality of the billing software, including the clearinghouse portal.
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Make necessary updates to the practice management software or clearinghouse website to re-submit claims previously denied for payment.
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Assign or identify appropriate CPT codes (ICD-9, DRG, ICD-10), diagnoses codes, and modifiers.
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Verify patient insurance coverage.
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Maintain confidentiality of patient information and adhere to HIPAA regulations.
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Stay updated on changes in medical coding systems and billing procedures.
Requirements
Minimum of 5 years of experience in medical billing or coding.
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Proficiency in medical coding systems (ICD-9, DRG, ICD-10).
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Knowledge of medical office procedures and medical collection practices.
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Strong attention to detail and accuracy in coding and billing processes.
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Professional communication skills with staff and providers.
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Ability to work independently and meet deadlines in a fast-paced environment.
Nice-to-haves
Experience with EHR systems
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Organizational skills
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Ability to work well in a team setting.
Benefits
Health insurance
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Dental insurance
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401(k)
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Flexible spending account
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Paid time off
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Vision insurance
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Flexible schedule
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Life insurance
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