Capital Staffing Solutions Hiring for Medical Billing *REMOTE* at Remote Full Time

$13 – $15 /hr based on experience

M-F 7:00 AM-3:30 PM EST

6 month contract to hire

Summary:

The main function of a medical biller is to submit medical claims to insurance companies and payers such as Medicare and Medicaid. Responsible for the timely submission of technical or professional medical claims to insurance companies. The position may be located in physician offices, hospitals, nursing homes, or other healthcare facilities.

Job Responsibilities:

• Obtain referrals and pre-authorizations as required for procedures
• Check eligibility and benefit verification
• Review patient bills for accuracy and completeness and obtain any missing information
• Prepare, review, and transmit claims using billing software, including electronic and paper claim processing
• Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid
• Follow up on unpaid claims within standard billing cycle timeframe
• Check each insurance payment for accuracy and compliance with contract discount
• Call insurance companies regarding any discrepancy in payments if necessary
• Identify and bill secondary or tertiary insurances
• All accounts are to be reviewed for insurance or patient follow-up
• Research and appeal denied claims
• Answer all patient or insurance telephone inquiries pertaining to assigned accounts.
• Set up patient payment plans and work collection accounts
• Update billing software with rate changes
• Updates cash spreadsheet, runs collection reports

Job Types: Full-time, Contract

Schedule:

• Monday to Friday

Experience:

• Medical billing: 1 year (Preferred)

Work Location: Remote