Medical Biller

Responsible for all functions related to professional fee billing. Performs all procedures for assigned accounts, including charge entry, claims processing, line-item payment posting, denial management, and resolution of insurer payment discrepancies. Coordinate claims editing software and application processes for identifying and correcting claims submission/payment errors. Investigates and analyzes payer remittance advise regarding denials and reimbursement discrepancies. Obtain pre-certifications for biologic/infusion drugs in accordance with insurance requirements.

This position is also responsible for facilitating in problem solving, correctly answering questions, providing information and coordinating communication between patients and/or family members and the appropriate staff. This position provides support and assistance to families receiving care and services. To inform the Clinical and Administrative team of problems facing these families that might create barriers to treatment. The Patient Advocate provides services to patients and their families to support and maximize all financial functioning and care of the patient, serves as a liaison between the patient and the medical staff.

Assists the billing department with various assignments; including but not limited to pre-authorizations, insurance verification, charge auditing, payments, posting, and other requests

Creates new codes, manages NDC updates, and maintains fee schedule quarterly for biologic/infusion drugs and carrier changes.

Obtain appropriate authorization from third party payers for services requiring such authorization.

Monitors insurance carrier reimbursement to ensure maximum and expected reimbursement is received. Manage denials for all department services.

Facilitates practice management system edit creations or revisions to ensure accurate claim submission.

Maintains current knowledge and educates providers and staff on coding changes and new insurance regulations.

Audits department charges to ensure accurate billing; provides education to physicians and staff on proper coding guidelines.

Manages the filing and resolution of claims with individual carriers or agencies.
Processes billing calls and questions and answers correspondence related to patients accounts.
Initiates requests for patient payments by letter or telephone.
Solves difficult insurance claim problems.
Notify clinical staff of patient financial issues affecting treatment. Facilitate enrollment to industry sponsored product procurement programs when appropriate. Facilitate and/or refer patients and families to support/education groups, whenever possible.

About Aerotek:

Our people are everything. As a Best of Staffing® Client and Talent leader, Aerotek® Inc. has distinguished itself as a leader in recruiting and staffing services, by having a deep understanding of the intersection of talent and business. As a strategic partner to more than 17,000 clients and 300,000 contract employees every year, Aerotek's people-focused approach yields competitive advantages for its clients and rewarding careers for its contract employees. Headquartered in Hanover, Md., Aerotek operates a network of over 230 non-franchised offices with more than 6,000 internal employees dedicated to serving our customers. Aerotek is an operating company of Allegis Group, a global talent solutions provider. To learn more, visit .

Aerotek is acting as an Employment Agency in relation to this vacancy.