Managed Care Biller
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Job Location:
Lawrenceville, NJ - USA
Monthly Salary:
Not Disclosed
Posted on:
1 hour ago
Vacancies:
1 Vacancy
Job Summary
The role is responsible for submitting editing correcting and researching claims to ensure clean adjudication payment from all payors.
What Would You Do The Specifics.
- Prepares and generates clean claims for submission to all payor types including third party payors Medicare and Medicaid. Submissions of claims to be are done via 837 electronic CMS-1500 fax and online web portal.
- Processes an average of 20-25 claims per hour.
- Facilitates all rejections from electronic or paper claims. Obtains information from carriers stores internal entities or patients when services billed are denied for reasons such as incorrect insurance information demographic information and/or authorization. Appeals denials when necessary.
- Develops and maintains working relationships with internal/external providers to ensure billings and collections procedures are current.
- Researches and resolves all zero payment explanations or benefits and exercises all options to obtain claims payments; initiates adjustments as necessary.
Qualifications :
Work Experience
- 2-4 years Managed Care Medical Billing and Coding experience and/or training or equivalent combination of education and experience (Required)
Education
- High school plus specialized schooling and/or on-the-job education in a specific skill area e.g. data processing clerical/administrative equipment operation etc. (Required)
Additional Skills
- POS system experience preferred.
- Knowledge of CPT-4 ICD0 HCPCS and Medicare/Medical Terminology is required.
Additional Information :
Taking Care of our People!
We understand the importance of financial health and security and because of that we provide competitive compensation to all associates. We also offer a comprehensive benefits package including health and dental insurance 401k retirement savings with company match flex spending account paid personal time off paid company holidays parental leave employee eyewear discount and much much more. At National Vision we strive to deliver opportunities for professional growth and long-term career fulfillment. We provide training programs and access to educational courses and pride ourselves on the ever-increasing amount of promotions from within.
We are an equal opportunity employer. We evaluate qualified applicants without regard to race color religion sex sexual orientation gender identity national origin genetic information disability veteran status and other legally protected characteristics.
Remote Work :
No
Employment Type :
Full-time
Key Skills
- EMR Systems
- Medical Collection
- Athenahealth
- eClinicalWorks
- ICD-10
- Medical Coding
- Medical office experience
- ICD-9
- Medical Billing
- Medical Terminology
- CPT Coding
- Medicare
About Company
National Vision is one of the fastest growing optical retail companies in the U.S. with over 1,200 stores in 38 states and Puerto Rico. We help people see their best to live their best through our optical products and services. For more than 30 years, we have been improving lives by p ... View more
