Medical Biller

We are Mordor Staffing a concierge outsourcing for small to medium-sized USA businesses located in Medellin Colombia. We are not about getting people jobs, we get people careers.

Our compensation packages are among the best for their respective positions in all of Colombia and for good reason.

The Medical Billing Specialist is primarily responsible for resolving all insurance claim denials for assigned lines of business. The individual in this position will generate effective online and written appeals to carriers using well-researched logic in order to recoup reimbursement on incorrectly denied claims. This includes appealing to payer denials through coding review, contract review, medical record review, and carrier interaction.

**Requirements**:

- Manage insurance A/R, including timely filing and follow-up of denied claims.
- Call insurance companies regarding any discrepancy in payments when necessary.
- Perform contractual analysis on paid claims to ensure that our client hospitals are reimbursed accurately and according to contract, and to ensure payment integrity.
- Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements.
- Prepare claims for submission including charge entry and submission of electronic claims.
- Identify trends in denials and opportunities for improvement in the billing process.
- Experience utilizing insurance web portals such as Availity, UHC, Cigna, Medicare, and Medicaid.
- Be familiar with CPT, ICD coding, LCD and NCD.
- Experience utilizing CMS 1500 and/or UB04 billing formats.
- Payment posting, anesthesia billing, and OON claims experience is a plus.

**Benefits**
- Remote Job
- Working hours: Monday to Friday, 40 hours.

**Job Types**: Full-time, Permanent

Pay: From $26,000.00 per month

Experiência:

- medical billing: 1 año (Obligatorio)

Idioma:

- Ingles (Obligatorio)