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in Plano, TX
Medical Biller - Full-time / Part-time
•30 days ago
Hours | Full-time, Part-time |
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Location | Plano, TX Plano, Texas |
About this job
Essential Functions:
- Interfaces with internal and external personnel to expedite and complete the billing process including data entry of patient demographics and order.
- Performs advanced quality control checks for completeness and accuracy of claims, investigates questionable data and requests corrective action prior to claim submission.
- Reviews and approves national billing guideline updates and maintenance, ICD9 coding information, and company billing procedures.
- Performs statistical reporting and analysis of billing volume and quality control goals to determine problems or trends, apprising management of new trends.
- Special projects as assigned.
- Perform quality control checks by verifying accuracy and completeness of documentation; prepare claims for billing: communicate errors and necessary corrections to coworkers and associates.
- Reviews, maintains, and updates electronic submission files, insurance company files, insurance ID files, clearing house files, and supplier files.
Qualifications: - High School diploma or equivalent required.
- 1.5+ plus years experience in processing health care claims for private insurance and/or federal government programs required
- DME experience a plus
- Understanding of medical terminology