November 18, 2024

At Home Care Missouri

St. Louis

FULL TIME

Medical Biller

Join Our Winning Team!

SEEKING EXPERIENCED HOME CARE/HOME HEALTH CARE BILLER. PLEASE DO NOT APPLY UNLESS YOU HAVE AT LEAST 1 YEAR EXPERIENCE.

We offer our At Home Care family:

- Medical, Vision, Dental and Life insurance
- Weekly Pay and Direct Deposit
- Top pay wage scale
- Paid Time off and holiday pay
- Paid Travel

Job Purpose: The Medical Biller, under routine supervision, performs all duties related to preparing and submitting medical insurance claims. This position reviews and adjusts accounts to ensure appropriate claim billing, including interacting with third parties and participants, processes, research, corrects accounts, posts payments and adjustments, and interprets Explanation of Benefits (EOB) documentation. The ideal individual will have the ability to exercise good judgment in a variety of situations, with strong written and verbal communication, administrative, and organizational skills, and the ability to maintain a realistic balance among multiple priorities.

Job Description:

Prepares and submits clean claims to various insurance companies either electronically through EMOMED or the payer portal.
Processes medical claims by a billing clearinghouse or by paper.
Gathers insurance billing information by reviewing patient hospital records; checking for completeness.
Bills carrier by inputting billing information to database; initiating electronic transmissions.
Process claims as they are paid and credit accounts accordingly.
Resolves disputed claims by gathering, verifying, and providing additional information; following-up on claims.
Resolves discrepancies by examining and evaluating data; selecting corrective steps.
Adjusts patient bills by reviewing remittance advice; consulting with payer.
Monitor payor claim acceptance and response timeliness.
Contact payors when needed to obtain claim payment updates.
Correct and resubmit claim denials.
Escalate claims for potentially payor relations bulk resolution.
Ensure proper charge capture, billing, and adjudication of claims per federal, state, and private billing guidelines.

Qualifications:

1 year of Healthcare Missouri Medicaid medical claims processing or billing experience required
Ability to effectively manage workload in a high-volume environment, strong attention to detail
Working knowledge of PC applications (Microsoft Office Suite- Excel, Word)
Strong ability to compute percentages and basic math functions
Effective oral, written, and interpersonal communication skills

Location
Bridgeton, MO
Department
Office St. Louis, MO
Employment Type
Full-Time Admin
Minimum Experience
Experienced
Compensation
$35,360-$39,520 annually /doe