Medical Billing Assistant (ZR_22953_JOB)

This is a remote position.

Work schedule:

Description:

We are seeking a meticulous and dedicated Medical Billing Assistants to join our healthcare team. The successful candidate will be responsible for processing patient data, including medical records and billing information, submitting and tracking claims with insurance companies, and ensuring accurate and timely payment for healthcare services. The Medical Billing Assistant will work closely with healthcare providers and insurance companies to resolve billing discrepancies, verify insurance coverage, and process payment posting.

Responsibilities:

• Post insurance company payments and/or responses into the various systems based on client, such as electronic, ERA, or paper explanation of benefits.
  
• Daily checks on the pending amounts due from carriers and act accordingly.
  
• Reviewing the recent codes of partial and full denials, utilizing carrier portals or calling for clarification as well as resubmission and reconsidering of given claims with appropriate reasons.
  
• Prepare appeals to be sent by reimbursement representative.
  
• Report to reimbursement team member any item that is not resolved within a timely manner 
  
• Report to reimbursement team member any specific patients with partial and full denials, identify why denied, and find ways to avoid the issue(s) that might be triggering it.
  
• Check with carriers on no-response claims based on predefined dates.
  
• Prepare amounts outstanding and key issues for the reimbursement team member.
  
• Follow up on appeals and claims sent for reconsideration.
  
• Attend daily meetings with reimbursement team members.
  
• Attend weekly team meetings, completing the to-do’s assigned to reimbursement team member.
  
• Other duties as assigned.
  
  

Requirements