Medical Billing/Insurance Representative

Job Description

The Medical Billing/Insurance Representative is responsible for the Accuracy, Quality, and Timeliness of certain billable services processed by the Company.

Reports to

• Billing Manager
• Billing Lead

Job Duties

• Billing/Invoicing Facilities, Home Care, and Hospices for Services Rendered.
• Assisting in direct customer billing, as well as processing and billing Medicare and private insurance claims (i.e., Medicare/Insurance Verification, CMN, Doctor's Order's, Claims Denials, etc.).
• Interfacing with customers, patients, and company personnel to discuss, evaluate, process, and resolve billing adjustment requests, both independently and cooperatively with the Billing Team.
• Generating reports and completing assignments as assigned by the Billing Manager and Billing Lead.

Qualifications

Job Requirements

• Associate's degree or equivalent experience (Bachelor's preferred).
• Minimum of 1 year experience with medical billing and coding and understanding of Medicare/Insurance billing procedures (preferred).
• Intermediate Microsoft Excel skills (Pivot Tables, VLOOKUP, etc.).
• Proficient in navigating and utilizing both web portals and online databases to manage and review billing data and patient records.
• Strong time management, problem-solving, and organizational skills.
• Excellent written and verbal communication skills.
• Familiarity with Durable Medical Equipment language and usage (Preferred).

Additional Information

• All applicants must pass a national criminal background check and not be listed on United States OIG Exclusion List of Excluded Individuals/Entities (LEIE) to be considered for the position.
• Mandatory overtime during the monthly billing cycle (1st 10 business days of a given month).
• Remote position with initial in-office training and onboarding.