Job Summary:
EBI Bone Stimulation is hiring a Billing and Claims Coordinator whose primary objective is to review and bill all new accounts in an accurate and timely manner. In addition, the biller will follow up on Implantable Hospital collections, Pre-Billing Review accounts, coding accounts and eligibility verifications.
Principal Duties and Responsibilities:
Reviews claims for coding & submission to payers through the appropriate method and supplying any required documentation.
Processes all claims that require submissions via Invoice or HCFA-1500 forms in a timely and accurate manner.
Monitors all billing grids for timeliness of claim submission.
Monitors the electronic billing rejections, corrects any mistakes, and resubmits the claim.
Handles all resubmissions in a timely and accurate manner.
Follow up on accounts in PBR to be sure that all necessary information is on file prior to submitting the claim.
Review medical documentation to assign ICD-10 codes accurately for Pre-Authorization and Billing.
Completes daily reports in a timely manner.
Reviews invoices for Implantable billing and follows up on Implantable Collections.
Acts as a backup to the cash posting process by verifying, reviewing and inputting all cash receipts for the RCM Department. Acts as back up for Patient Advocacy Group working with patients when needed.
Demonstrates excellent customer service skills, strong written and verbal communication as well as possessing a professional telephone manner.
Other job functions as determined necessary and as assigned by management.
This is not an exhaustive list of duties or functions and may not necessarily comprise all of the "essential functions" for purposes of the ADA.
Expected Areas of Competence (i.e., knowledge, skills, and abilities)
Knowledge or understanding of Commercial insurance, Medicare, Medicaid, and other governmental and private insurance products.
Medical terminology and health insurance background required.
Ability to code claims using ICD 10 Diagnosis codes.
Understanding of health insurance concepts and benefit design required.
Excellent customer service skills, analytical problem-solving skills, strong written and verbal communication skills, professional telephone manner and well organized.
Able to work with balancing team and individual responsibilities.
Experience using Microsoft Office tools such as Word and Excel.
Ability to learn and use proprietary programs such as FileNet, A/S 400, IFM.
Education/Experience Requirements
Minimum of 1-2 years’ billing, coding and/or medical background experience.
Travel Requirements
Less to 5%
Job Type: Full-time
Pay: $20.04 - $23.39 per hour
Benefits:
401(k)
401(k) matching
Dental insurance
Health insurance
Life insurance
Paid time off
Vision insurance
Schedule:
8 hour shift
Monday to Friday
Experience:
Medical billing: 1 year (Required)
Ability to Commute:
Parsippany, NJ 07054 (Required)
Ability to Relocate:
Parsippany, NJ 07054: Relocate before starting work (Required)
Work Location: Hybrid remote in Parsippany, NJ 07054