Medical Biller

Description:

Location: WFH-Flexible*

Compensation: $17.00-$18.00 per hour, DOE

Schedule: Monday-Friday, 40 hours per week

Ideal Option has been working on the front lines of the opioid epidemic since our first clinic opened in 2012. With more than 80 clinics across 9 states, we continuously strive to be the nation’s leading provider of low-barrier evidence-based treatment for opioid use disorder. We are looking for a Medical Biller to join our growing team and help us in our vision to give back lives, reunite families, and heal communities that are suffering from the devastating effects of substance use disorder.

We value our patients and our employees! We treat our employees like we would want to be treated ourselves: with respect and compassion. Below are some specifics on what Ideal Option offers and the role.

Benefits:

At Ideal Option, we offer our employees a competitive and comprehensive benefits program to recognize how important you are to the company. Current benefits include:

• Medical, vision, and dental

• Short-term and long-term disability options

• Life insurance

• Employee Assistance and Life Assistance programs

• A 401K retirement program

• Pet Insurance

• Paid time off and paid holidays

The Role:

As a Medical Biller, you play a key role in assisting in the revenue cycle functions within the billing department. This position is responsible for submitting medical claims to insurance companies and payers such as Medicare and Medicaid. Additional responsibilities include:

•Works directly with the insurance companies, healthcare providers and patients to get a claim processed and paid.

•Reviews and appeals unpaid and denied claims.

•Processes patient and insurance refund requests in a timely manner and posts payments and/or denials from insurance remits.

•Assists patients in getting the correct information to apply for charity/Medicaid or a payment plan.

•Uses coded data to produce and sub claims to insurance companies.

•Maintains knowledge of current billing rules and trends for billing types assigned by attending seminars, workshops and watching webinars.

•Assists patients in verifying benefit information and Assists in patient scheduling and account creation.

•Ensures weekly, monthly, and quarterly department goals are met.

•eCW and multiple payer portals.

•Obtains referrals and pre-authorizations as required for procedures.

•Checks eligibility and benefits verification for treatments, hospitalizations, and procedures.

•Reviews patient bills for accuracy and completeness and obtaining any missing information.

•Prepares, reviews, and transmits claims using billing software, including electronic and paper claim processing.

•Follows up on unpaid claims within standard billing cycle timeframe.

•Checks each insurance payment for accuracy and compliance with contract discount.

•Calls insurance companies regarding any discrepancy in payments if necessary

•Identifies any billing secondary or tertiary insurances.

•Sets up patient payment plans and work collection accounts.

•Updates billing software with rate changes.

•Updates cash spreadsheets and running collection reports.

•Must comply with all elements within HIPAA and the Privacy Act.

Our ideal candidate is:

Professional with strong interpersonal skills and effective communication skills, verbal and written. You maintain good work habits and good attendance. You also can work independently and have great problem-solving skills.

Requirements:

Minimum Requirements to be considered:

•A minimum of one-year experience with medical billing

•High School Diploma or GED.

•Proficiency with Microsoft Office Suite and Internet.

•A knowledge of chemical dependency and its effects on individuals, families, and communities is preferred.