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Medical Biller/Precert

MARYVILLE, TN

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Description

                          Are you a Medical Biller with

                               Precert experience?!?

RemX would like to talk to you! 

Seeking a dynamic medical Biller with insurance precertification experience for a medical office in Maryville!

Great office, great atmosphere and fantastic management!

Hours: M-F, 8-5pm, this is a temp to hire opportunity!

Pay: $16-17 Based on experience.

Job Description:

  • Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.
  • Following up on unpaid claims within standard billing cycle timeframe.
  • Checking each insurance payment for accuracy and compliance with contract discount.
  • Calling insurance companies regarding any discrepancy in payments if necessary
  • Identifying and billing secondary or tertiary insurances.
  • Reviewing accounts for insurance of patient follow-up.
  • Researching and appealing denied claims.
  • Answering all patient or insurance telephone inquiries pertaining to assigned accounts.
  • Review chart documentation to ensure patient meets medical policy guidelines
  • Prioritize incoming authorization requests according to urgency 
  • Obtain authorization via payer website or by phone and follow up regularly on pending cases 
  • Maintain individual payer files to include up to date requirements needed to successfully obtain authorizations 
  • Initiate appeals for denied authorizations
  • Respond to clinic questions regarding payer medical policy guideline

 

 

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