Claims Coordinator (Medical Biller) at Azaaki, LLC

Claims Coordinator (Medical Biller) Location: Paramus NJ 07652 (Hybrid 2x/week onsite) Duration: 6 months possible extension / Temp-to-Perm Work Hours: 9:00 AM 5:00 PM Pay Rate: $21.43/hr. W2 All Inclusive Start Date: Immediately # of Positions: 1 GENERAL FUNCTION The Medical Claims Biller is responsible for monitoring insurance carrier adjudication of TeamVision medical claims for one or more doctor practices. Utilize a practice EHR system and clearing house to review and submit claims to multiple medical insurance carriers. Review open/unpaid claim balances and take required action. MAJOR DUTIES & RESPONSIBILITIES Review medical claims and transmit to the insurance carrier using the practice electronic health records (EHR) system and clearing house. Monitor rejected claim reports and adjust claims for resubmission to the insurance carrier. Download insurance carrier explanation of payments (EOPs) to post claim payments and denials in the EHR system. Determine if denied claims can be corrected and re-submitted to the carrier. Review aging reports to research open balances and resubmit within insurance carrier filing limits. Utilize insurance carrier websites and contact carriers as needed to investigate denials and claim status. Partner with the clearing house to distribute patient billing statements and monitor the patient portal to post payments in the EHR system. Initiate overpayment refunds to patients and repayments to insurance carriers when required. Serve as the point of contact for the practice regarding all vision and medical claims. Support the corporate manager in maximizing claim collection rate. BASIC QUALIFICATIONS High school diploma 3 years of related work experience Experience with medical billing and coding Ability to prioritize handling of issues Strong organization skills and ability to multitask Effective communication skills (verbal written listening presentation) PREFERRED QUALIFICATIONS Experience working in multiple doctor practices Experience working with multiple insurance carriers and understanding their claim requirements Proven ability to identify issues and solve problems CANDIDATE SELF-ASSESSMENT QUALIFYING SKILL MATRIX (For candidate to self-score: Rate your skill level from 1 (Beginner) to 10 (Expert) and provide years of experience any relevant comments.) Required Skill Skill Rating (1 10) Years of Experience Notes / Comments Medical claims billing Working with EHR systems Working with clearing house systems Reviewing & submitting insurance claims Handling rejected claims Working with EOPs (posting payments/denials) Denied claim corrections & resubmissions Aging report review Insurance carrier portals & websites Investigating claim denials Patient billing statement handling Overpayment refund processing Vision & medical claims knowledge Claim collection rate support Prioritization & multitasking Communication skills (verbal written) Preferred Skill Skill Rating (1 10) Years of Experience Notes / Comments Multiple doctor practice billing Working with multiple insurance carriers Understanding insurance claim requirements Problem identification & resolution Key Skills EMR Systems,Medical Collection,Athenahealth,eClinicalWorks,ICD-10,Medical Coding,Medical office experience,ICD-9,Medical Billing,Medical Terminology,CPT Coding,Medicare Employment Type : Full Time Experience: years Vacancy: 1