Medical Biller - WFH

Job Description

Job Description

Job description : Company Description

IHDLab is a CLIA / FDA registered full service clinical laboratory specializing in a range of tests. Our standout services include personalized customer service, quick turnaround times, dedicated patient service centers, courier service, and API capabilities. We are also renowned for our white-labeled at-home test kitting service. Our LabFlow platform integrates seamlessly with businesses to provide comprehensive at-home testing solutions, ensuring easy and accessible diagnostics for all.

Role Description

This is a full-time remote role for a Medical Insurance Biller. The Medical Insurance Biller will be responsible for managing and updating patient billing records, submitting insurance claims, and following up on unpaid claims. Day-to-day tasks include verifying insurance coverage, resolving denials, and ensuring accurate use of medical terminology and ICD-10 coding. The position requires regular communication with insurance companies and patients to clarify any issues.

Qualifications

• Proficiency in Medical Terminology and ICD-10 coding
• Experience with insurance processes, including Medicare
• Ability to handle claim denials and follow up on unpaid claims
• Excellent organizational and communication skills
• Ability to work independently and remotely
• Familiarity with electronic medical records (EMR) and billing software is a plus
• Certification in medical billing or relevant experience preferred

Key Responsibilities

Claim Submission :  Generate and submit accurate billing claims to insurance companies and other payers.

Edit Handling :  Review and correct claim edits and errors to ensure compliance with billing policies and coding guidelines.

Appeals Management :  Manage the appeal process for denied or underpaid claims, including the collection of necessary documentation and communication with insurers.

Payment Posting :  Post payments and adjustments received from payers accurately and timely.

Customer Service :  Respond to inquiries from patients, insurance companies, and internal departments regarding billing-related matters.

Reporting :  Generate regular billing reports to track KPIs and identify areas for improvement.

Compliance :  Maintain up-to-date knowledge on relevant federal, state, and payer-specific billing regulations.

Job Type : Full-time

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Work Location : Remote