Medical Biller - Obgyn

Medical Biller - OBGYN
Alexandria, VA
MUST:
Experienced Medical Biller
2+ years of experience as a Medical Biller
2+ years of experience working in medical billing
2+ years of experience working with CPT and ICD-10 coding systems
2+ years of experience working with Medicare, Medicaid, BC/BS, Workers Compensation, and commercial insurance carriers billing regulations
2+ years of experience working with Explanation of Benefits (EOB's, insurance carrier payment policies, practices, and amounts
Highly self-motivated and directed
Ability to effectively prioritize and execute tasks while under pressure
Experience working in a team-oriented, collaborative environment
Very strong written and verbal communication skills
Problem solver and able to troubleshoot independently with little supervision
EMR: Athena and/or EPIC is preferred
Certified Professional Coder (CPC) preferred
DUTIES:
Contact insurance companies by phone, email, fax, and written correspondence to resolve issues preventing claims from being processed correctly, including verifying benefits and eligibility dates
Working various denials from insurances including coverage in question, medical necessity, bundling, non-covered procedures, incorrect coding, credentialing, etc.
Communicate with coding staff to verify claims have been coded correctly and appeal claims that have been paid incorrectly
Follow up on accounts when no response from the insurance carriers has been received
Gather information regarding other pending claims on account and check status of claims utilizing the websites for various insurance companies
Research, identify, and rectify any special circumstances or denial trends affecting resolution of patient account and provide the finds to the practice manager
Identify and create batches for necessary billing adjustments
Participate in monthly billing meetings
Review statements and communicate the specific manner in which the claim processed with patients
Perform other duties as directed by manager
*Quadrant, Inc. is an equal opportunity and affirmative action employer. Quadrant is committed to administering all employment and personnel actions on the basis of merit and free of discrimination based on race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or status as an individual with a disability. Consistent with this commitment, we are dedicated to the employment and advancement of qualified minorities, women, individuals with disabilities, protected veterans, persons of all ethnic backgrounds and religions according to their abilities.