Job description

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 Representative 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 (In the office)

Pay: $22-$27 per hour

Job Type: Full-time

Pay: $22.00 - $26.00 per hour

Benefits:

• 401(k)
• Health insurance
• Paid time off

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Application Question(s):

• Do you have experience working with physician billing?
• What type of billing do you have experience with? Any specific specialty practice?
• What type of computer skills are you most experienced with? What is your typing speed?
• Are you able to commute to the office Mon-Friday located in Mahwah, NJ (Northern, NJ)?

Experience:

• ICD-10: 3 years (Preferred)

Security clearance:

• Confidential (Preferred)

Work Location: In person

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