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DATE ADDED: Thu 11/10/2018

Medical Biller And Coding/Full Revenue Cycle

Arlington Heights, USA
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COMPANY: ANDRES MEDICAL BILLING

Job Description

Essential Duties and Responsibilities.

  • Maintain AdvancedMD billing platform and perform administrative tasks.
  • Full Revenue Cycle process
  • Ensures receipt and validity of all documents needed in order to prepare and submit all billing and claims accurately.
  • Coordinates with client to obtain appropriate documentation as needed for billing.
  • Provides all necessary documentation required to expedite payments. This includes, but not limited to, demographic, authorization/referrals, National Provider Identification (NPI) number, and referring physicians.
  • Maintains and updates the charge masters for each client.
  • Completes and submits all necessary insurance forms and electronic claims to process them in Accordance to the timely filing requirements set by all third-party payors. Communicates with management on a monthly basis regarding any claim issues.
  • Independently analyzes, reports, and communicates any reimbursement or billing trends/delays (e.g. payer specific requirements, billing denials, claim denials, pricing errors, payments, etc) to management.
  • Ability to perform root cause analysis for the client to ensure proper billing practices and timely payment of claim
  • Independently and effectively resolves billing issues with minimal supervision.
  • Good judgment in selecting methods and techniques for obtaining solutions.
  • Communicates effectively to payers and/or claims clearinghouse to ensure accurate and timely electronically filed claims.
  • Researches and resolves any electronic claim denials or rejections through the billing clearinghouse.
  • Ability to view pay plans and interpret the information. Ability to verbalize knowledge and understanding of insurance coverage dependent on payer assignment i.e. major medical, PBM, Medicare and Medicaid.
  • Ability to understand prior authorization numbers, date spans, and HCPC unit calculations.
  • Ability to read and interpret payer contracts and apply them to the billing process.
  • Ability to demonstrate clear understanding of CPT and ICD-10 coding. Also, demonstrate a clear understanding of CMS 1500 claim formatting and billing process.
  • Provides exceptional customer service to patients and clients (internal and external customers); resolves any customer requests in a timely and accurate manner; escalates complaints accordingly.
  • Maintains frequent phone contact with provider representatives, third party customer service representatives, and case managers as needed.
  • Maintains work operations by following established policies and procedures. Reports any compliance issues immediately.

Benefits: 401k and Paid Time Off(PTO) ONLY!

Company Description
Andres Medical Billing (AMB) has been providing EMS billing services since 1995. We are a rapidly growing company that services over 200 clients including fire departments, municipalities, townships and private ambulance services. Our clients are spread out nationally.


Role: Medical Biller and Coding/Full Revenue Cycle
Job Type:
Location: Arlington Heights,

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