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Medical Biller

Company: Clinical Professional Connections
Location: Smithtown
Posted on: May 3, 2021

Job Description:

Medical BillerPurpose & Function:This role will be a Medical Billing Specialist Team Member of a Billing Department with Medical Billing background in Family Health and/or Pediatrics. They must be laser focus on working denials and outstanding account receivable for a busy primary care physician group. Strong utilizing an EMR system called eClinicalWorks using TriZetto as the clearinghouse.REQUIRED SKILLS3+ years experience in Denial ManagementStrong keyboard and web access skills3+ years experience in eClinicalWorksStrong analytical skillsExcellent organizational skillsMedical Biller must have strong denial and insurance follow-up management skills.Medical Biller Prepares and submits clean claims to third party payers either electronically or by paper.Medical Biller Maintains relationship with clearinghouse, including appropriate follow-up with support issues.Medical Biller Coordinate the process of patient eligibility through various third party sources.Medical Biller Manage monthly statement process, to include reviewing statements before mailing and field any patient inquiries the Patient Services staff needs to escalate.Medical Biller Work with reception staff, ensure appropriate collection of co-pays, and self-pay fees.Medical Biller Handles patient inquiries and answers questions from clerical staff and insurance companiesMedical Biller Identifies and resolves patient billing problems.Medial Biller issues adjusted, corrected, and/or rebilled claims to third party payers.Medical Biller will post adjustments, transfer of responsibility and refunds, as necessary.Medical Biller assure coding is compliant and up to date.Medical Biller reviews accounts and makes recommendations to the Manager regarding non collectible accounts.Medical Biller maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.Medical Biller reviews accounts and makes recommendations to the Manager regarding non collectible accounts.Benefits1. SingleHealth, Medical - Employer pays 90 %2. Disability, Life Insurance3. Dental, Vision available plans4..Vacation and PTO time off5.Competitive Salary or hourly rate will be compensation.6. Full time Monday to Friday 8:30 - 5:00 p.m.7. Direct Deposit (bi-weekly)8.Competitive Salary or hourly rate will be compensation.Send your resume to

Keywords: Clinical Professional Connections, Westport , Medical Biller, Other , Smithtown, Connecticut

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