Experity is looking for individuals that have a high level of customer service, positive energy and want to grow personally and professionally. As a Medical Biller, you will be working in a fast pace environment working closely with other team members. No experience needed, we will train you!
Experity is a software technology company focused on urgent care software solutions. Every member of our team is encouraged to think and act as an owner. When you play on our team, you are challenged to bring your best every day—and then some. It makes us better. It makes you better.
By joining Experity, you will make a positive impact on your team, our clients, and our community. If we haven’t caught your attention yet, let us share what we offer our team members:
Quarterly bonus incentive
Employee Assistance Program
Generous maternity/paternity leave
Paid vacation and 8 paid holidays
401K company match
Experity Synthetic Equity Program
Medical, dental and vision benefits
Responsibilities:
Applies payments and adjustments to patient accounts as appropriate
Assist with maintaining PVM setups to ensure accurate and timely submission of claims. This includes loading insurance carriers timely and accurately
Counsel patients regarding financial obligations related to account balances
Follow up with insurance payers for processing of appeals and errors
Interact with clinicians, managers, and clients as needed to resolve outstanding items
Maintain current understanding of applicable coding guidelines, state and federal regulations, and managed care guidelines
Meet productivity and quality assurance benchmarks
Perform quality assurance on staff’s work and provide feedback to management and employee about job performance
Provide phone coverage as needed
Receive and resolve inquiries, concerns, or complaints related to patient accounts from patients, insurance carriers, employers, etc
Responsible for notifying management of any trends or denials
Responsible for resolution and appropriate refunding of credit balances. Includes working credit balance reports as needed
Responsible for the review and resolution of denied claims on EDI reports
Responsible for timely review and release of charges on hold
Review and coding of patient medical record in compliance with standard coding guidelines
Review explanations of benefits for correct adjudication and payment according to applicable managed care contract terms and reimbursement
Review of unpaid claims, researching denials and/or lack of activity to ensure timely payment and maintain cash flow
Review and updated patient and insurance demographics as appropriate
Review practice management claim format with management to ensure accuracy
Understand CPT, ICD-10, and HCPCS coding
Other duties as assigned
Qualifications:
Ability to work in a faced-paced, team environment
High functioning in a rapidly-moving moving company
Excellent organizational and problem solving skills
Attention to detail
Excellent interpersonal skills
Ability to communicate in English, both verbally and written
