Medical Biller | Part- Time

Ideal Biller:
- Attention to Detail
- Likes systems and processes
- Excellent written and oral communication skills
- Would need to learn our software, Acusimple
- Friendly and patient
- Can multi-task (call insurance companies for verification while submitting claims while on hold)
List of Biller's responsibilities:
- Insurance verifications and benefits for our new patients and current patients that will be sent over from Stacey. Most can be done online, a few will need to be handled with phone calls
- code the claims from a list of acceptable codes furnished by Dedham Acupuncture according to each insurer
- scrub claims for codes that will deny (ex - one insurer, Harvard Pilgrim, will only accept 3 procedure codes)
- Submit claims electronically to the payers via our software, acusimple within 72 hours after the date of service
- Correct claims and resubmit any denied claims within 7 days of receiving; some denied claims may require additional information from insurers or may need to be appealed
- pull reports/EOBs from insurers payment websites (like payspan) and post payments to acusimple. Send these reports from the insurers of payments in a monthly report to our bookkeeper, KEM to reconcile with our bank accounts. Contact any insurers that report sending payment but have not.
- Make sure that credentialing is up to date with each insurer every time we add a new provider or one leaves our practice