Mexico Job Openings
Medisys Management, LLC
Medical Biller-TPFU
Melville
FULL TIME
September 18, 2024
Summary of Responsibilities:
Perform Follow-up activities on billed accounts, ensure contracted payment rates are received. Responsible for timely and quality follow-up activity on assigned accounts. Willing to train.
Essential Duties and Responsibilities:
- Assure Third Party Knowledge Base of Payer Regulations through Educational Sessions, Self Educational activities and payer documentation.
- Knowledge of Medicare/Medicaid Governmental Benefits & all other Third Party Insurance Billing Rules & Regulations.
- Submit Primary/Secondary Insurance and Follow- Up on same.
- Perform follow-up Third Party Balance Due Accounts
- Contact Third Party Payers via website portals, telephone and /or correspondence thereby assuring of quality and quantity of work in a timely manner to obtain claim status.
- Verify Insurance coverage/benefits and follow-up on billed insurance claims, analyze insurance EOBs/Remittance and ensure payments are in accordance with contracted rates and/or analyze the root cause of denials and submit denial appeals as needed.
- Follow Federal Guidelines for processing MSPQ (Medicare Secondary Payer Questionnaire).
- Communicate with account Guarantor on an as needed basis.
- Clear and concise account notes are rquired to document the follow-up activity taken on each account.
- Timely and quality billing and follow-up activity on assigned accounts and the ability to work an average of 30 - 40 accounts daily.
- Performs all other duties as required and assigned.
- Willing to train.
- 1-2 years prior Healthcare/Hospital Accounts Receivable or any appropriate combination is a plus.
- Knowledge of HIPAA.
- Participation in all educational activities, seminars and webinars.
- Computer literate.
- Ability to work independently on assigned task as well as accept directions on given assignments.
- Excellent written and oral communication skills.
- High school diploma or GED
- College Degree
- 1-2 years prior health care experience
- Computer proficiency, Type 35 wpm
Pay: $23.00 - $28.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Employee assistance program
- Flexible spending account
- Health insurance
- Paid time off
- Tuition reimbursement
- Vision insurance
- 8 hour shift
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