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Medical Billing

Lewiston, ME

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Description

  • Submit medical claims to insurance companies and payers such as Medicare and Medicaid.
  • Timely submission of technical or professional medical claims to insurance companies. 
  • 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 time frame

Job Requirements

  • High school diploma or equivalent
  • Knowledge of HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
  • Use of computer systems, software, 10 key calculator
  • Problem-solving skills to research and resolve discrepancies, denials, appeals, collections
  • Knowledge of accounting and bookkeeping
  • Knowledge of business and accounting processes
  • Health Care Administration preferred
  • 2 years of experience.
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