Medical Biller at Arc of Anchorage.

Anchorage, Alaska, United States -

Full Time

Start Date

Immediate

Expiry Date

06 Mar, 26

Salary

0.0

Posted On

06 Dec, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Medical Billing, CPT Coding, ICD-10 Coding, Medicaid Billing, Claim Denial Management, HIPAA Compliance, Billing Software, EOB Explanation, Payment Reconciliation, Service Authorization, Microsoft 365, Behavioral Health Billing, Claims Review, Claims Submission, Insurance Coordination, Continuous Improvement

Industry

Individual and Family Services

Description

Hiring Bonus!!! Four Weeks Paid Time Off Starting First Year. Summary of Job Functions: The Medical Biller at The Arc of Anchorage ensures accurate and timely medical billing processes. This position involves reviewing claims, assigning appropriate CPT and ICD-10 codes, preparing and submitting claims, and reconciling payments using The Arc of Anchorage’s electronic medical record system. Minimum of 2 years of experience in medical billing, with specific expertise in Medicaid billing. Essential Job Functions: * Review Claims: * Thoroughly review claims for accuracy and completeness * Obtain any missing information necessary for successful billing. * Claim Preparation and Submission: * Prepare, review, and transmit claims using billing software. * Follow up on unpaid claims within standard billing cycle timeframes. * Payment Accuracy: * Check insurance payments for accuracy. * Contact insurance companies to address discrepancies in payments when necessary. * Secondary and Tertiary Insurances: * Identify and bill secondary or tertiary insurance as applicable. Denial Management: * Monitor and analyze claim denials, rejections, and underpayments. * Investigate and resolve billing discrepancies and claim issues. * Resubmit corrected claims and follow up on appeals to ensure timely resolution. * Compliance and Documentation: * Maintain thorough knowledge of state and federal Medicaid billing regulations. * Ensure compliance with HIPAA and other relevant patient confidentiality regulations. * Document all billing activities, communications, and claim statuses in the billing software system. * Coding Expertise: * Assign ICD-10 and CPT codes to claims. Service Authorization Support: * Assist in service authorization requests for behavioral health services Continuous Improvement: * Stay informed on updates to Medicaid policies, billing procedures, and industry best practices. * Participate in training sessions and professional development opportunities. Knowledge, Skills, and Abilities: * Knowledge of CPT and ICD-10 coding * Knowledge and understanding of billing procedures. * Knowledge and understanding of HIPAA rules and regulations. * Able to understand and explain EOBs. * Knowledge of primary and secondary coordination of benefits * Able to work in an integrated team. * Knowledge of general billing processes and procedures required to resolve claims for payment. * Intermediate understanding of Microsoft 365 applications Education and Experience: * High School Diploma or GED: Required. * Minimum of 2 years of experience in medical billing, with specific experience in Medicaid billing * Proven track record of handling claims, denials, and appeals successfully. * Behavioral Health Billing Experience or Healthcare Reimbursement Education: Preferred. Required Licenses, Clearances & Training: * Background checks as defined by licensing agencies. * Current TB test/clearance * Valid driver’s license and proof of insurance * Pass mandatory agency training (i.e., CPR, Mandt, Programs). Physical Requirements: * Sitting in a normal seated position for extended periods * Finger dexterity is required to manipulate objects with fingers rather than whole hands (s) or arms. * Communication skills using the spoken word. * Hearing within normal range * Seeing - within normal parameters Equipment Used: * Computer (Intermediate Level) * Appropriate Office Equipment * Ability to see within normal parameters. * Ability to hear within normal range. The Arc of Anchorage is an Equal Employment Opportunity Employer

Responsibilities

The Medical Biller ensures accurate and timely medical billing processes, including reviewing claims, preparing and submitting claims, and reconciling payments. The role also involves monitoring claim denials and ensuring compliance with billing regulations.