Full-Time Sr. Care Center Biller

• Under the direction of the Associate Director, of Revenue Cycle Management, the Senior Care Center Biller is responsible for complete, accurate and timely processing of all designated claims.
• Reviewing and responding to daily correspondence from physician practices in a timely manner, and providing information as requested or properly authorized.
• Work directly with physicians and practice administrators on a daily basis to ensure optimal revenue cycle functionality.
• Understand and explain various health plan options and requirements.
• Understand and work with revenue cycle from point of scheduling to processing of claims.
• Accurate and timely processing of all designated claims.
• Work back end edits and denials and facilitate submission of corrected claims and appeals.
• Update patient demographics, perform eligibility verifications, create claims, ensure proper coding of claims.
• Review medical documentation for accurate charge capture.
• Query providers and provide feedback regarding errors and trends.
• Work front-end, as well as coding-related, edits, scrubs, and denials.
• Work directly with manager on upcoming team projects, including taking the lead and overseeing some projects (including delegation of tasks and follow-up).
• Answers team questions and provides guidance on complex billing issues as needed.
• Other duties as assigned

Technical Requirements: Requires a minimum of 5 MBPS Download Speed and 3 MBPS Upload Speed.

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