Medical Billing Specialist – Medloop – Mahwah, NJ

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 Specialist 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

PREFERRED ADDITIONAL QUALIFICATIONS (not required):

  • Working knowledge of Medicare, Medicaid, and Commercial payor claims and appeals processing requirements
  • Familiar with writing appeals with successful outcomes
  • General knowledge of ICD-10, CPT-4, and HCPC coding and CCI edits
  • Ability to prioritize effectively and handle shifting priorities
  • Self-starter with the ability to organize work for maximum efficiency and attention to quality

At Medloop we offer great opportunities with the potential for growth.

Benefits:

  • Health Insurance
  • 401K
  • Great PTO Package

Job Type: Full-time
Pay: $50,000.00 – $75,000.00 per year

Location: Mahwah,NJ,USA, Mahwah, NJ 07430

Job Type: Full-time

Pay: $50,000.00 – $75,000.00 per year

Source: Indeed.com
Click Here To Apply

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