Claims Coordinator (Medical Biller)

Claims Coordinator (Medical Biller)

Location: Paramus NJ 07652 (Hybrid 2x/week onsite)

Duration: 6 months possible extension / Temp-to-Perm

Work Hours: 9:00 AM 5:00 PM

Pay Rate: $21.43/hr. W2 All Inclusive

Start Date: Immediately

# of Positions: 1

GENERAL FUNCTION

The Medical Claims Biller is responsible for monitoring insurance carrier adjudication of TeamVision medical claims for one or more doctor practices. Utilize a practice EHR system and clearing house to review and submit claims to multiple medical insurance carriers . Review open/unpaid claim balances and take required action.

MAJOR DUTIES & RESPONSIBILITIES

• Review medical claims and transmit to the insurance carrier using the practice electronic health records (EHR) system and clearing house .
• Monitor rejected claim reports and adjust claims for resubmission to the insurance carrier.
• Download insurance carrier explanation of payments (EOPs) to post claim payments and denials in the EHR system.
• Determine if denied claims can be corrected and re-submitted to the carrier.
• Review aging reports to research open balances and resubmit within insurance carrier filing limits .
• Utilize insurance carrier websites and contact carriers as needed to investigate denials and claim status .
• Partner with the clearing house to distribute patient billing statements and monitor the patient portal to post payments in the EHR system.
• Initiate overpayment refunds to patients and repayments to insurance carriers when required.
• Serve as the point of contact for the practice regarding all vision and medical claims .
• Support the corporate manager in maximizing claim collection rate .

BASIC QUALIFICATIONS

• High school diploma
• 3 years of related work experience
• Experience with medical billing and coding
• Ability to prioritize handling of issues
• Strong organization skills and ability to multitask
• Effective communication skills (verbal written listening presentation)

PREFERRED QUALIFICATIONS

• Experience working in multiple doctor practices
• Experience working with multiple insurance carriers and understanding their claim requirements
• Proven ability to identify issues and solve problems

CANDIDATE SELF-ASSESSMENT QUALIFYING SKILL MATRIX

( For candidate to self-score: Rate your skill level from 1 (Beginner) to 10 (Expert) and provide years of experience any relevant comments.)