Medical Biller - Full-time / Part-time

At PrideStaff Financial, we offer our ever growing network of clients the perfect fit for their needs...quickly. In order to accomplish this, we are always reaching out to qualified candidates to be ready for new opportunities.

For our candidates, our goal is to help you find the best possible opportunity. Whether it be temp, temp to hire, or direct hire: we are focused on helping take your career to the next step.

Medical Billers should be able to:

• Effectively handle complex payer denials; responsible to ensure that secondary claims are sent and paid
• Manage and track information requests to client.
• Answer and resolve all incoming calls and requests in a timely manner
• Complies and enforces and policies and procedures
• Timely input of demographic charges and time of service payment information
• Expert ability to add specific data such as modifiers, payer specific information, including authorization criteria, CPT and ICD-9 code and date of injury (DOI)
• Knowledgeable to append modifiers based on payer specifics, insurance and authorization requirements and referring physicians’ unique attributes
• Understand and interpret the Correct Coding Initiative (CCI) as it applies to charge entry work
• Reduce denials by correct use of modifiers, mapping, and linking codes with services
• Responsible for the processing and discrepancy reconciliation and closing of charge batches across all systems
• Ability to successfully track and follow up on information requests to and from the client
• Work with clients and group to facilitate information and resolve charge questions
• Achieve goal of a 48-hour turnaround batch time
• Responsible for Claim Edit Reports and Unassigned Money Reports
• Timely posting of payments and identifying adjustments
• Expert ability to input specific data and review patients’ issues and credits
• Knowledgeable of medical EOB’s, patient deductibles and co pays, and insurance or third party correspondence
• Ability to recognize client contract and identify differences in payments
• Ability to successfully track and follow up on information requests to and from the clients
• Ability to conduct a contract rate audit and provide notification to Supervisor of underpaid or pay equal charges.
• Effectively work with clients and group to facilitate information and resolve charge questions

Medical Biller Requirements:

• HS Diploma and related experience
• Relevant accounting experience is a plus
• Must have intermediate knowledge of Microsoft Office (Excel, Outlook, Word) software
• Familiarity with various billing systems like NextGen, Proscripts, and Allscripts
• Knowledge of Laserfische is a plus

If you are already part of our network, please send an email updating your status.