Medical Billing Representative - Entry Level - $20 hourly! - Experity : Job Details

Always be in demand! Start your career in the exciting and growing field medical billing at a leading national billing company Experity, located right in Machesney Park. Get paid while getting the best training in the industry. If you are a positive, can-do person with a desire to improve yourself, consider applying to be a part of our world-class team. No experience required, training is provided! Our Revenue Cycle Management (RCM) department processes claims for our Urgent Care clinics by ensuring accurate and timely reimbursement for the services they provide to patients. This includes processing payments and adjustments accurately, advising patients on financial obligations, and working with insurance providers to resolve appeals and errors.At Experity, we offer much more than just a job. Here's what you can expect:

• Comprehensive Benefits: Enjoy full coverage from day one, including Medical, Dental/Orthodontia, and Vision plans.
• Paid Time Off (PTO): Recharge and relax with our PTO plan, which increases with milestones, ensuring you have plenty of time for yourself and loved ones.
• Ownership Opportunity: After one year with us, all full time Team Members are eligible for synthetic ownership, with real financial rewards tied to the company's success!
• Employee Assistance Program: Our robust program covers counseling, legal assistance, financial education, pet adoption support, identity theft resolution, and much more.
• Flexibility: We understand the demands of balancing work, family, and life. That's why we offer flexible work scheduling to help you achieve the perfect work-life balance.
• Career Development: Our learning program foundation supports your growth and helps you achieve your career goals.
• Total Compensation: Enjoy competitive pay, quarterly bonuses, and a 401(k) retirement plan with an employer match after 90 days of employment, ensuring your financial security both now and in the future.

Location: This position will be onsite Monday - Friday at our Machesney Park office. Pay: $20 hourlyJob Type: Full timeWork Schedules: Monday - Friday

• 7:30 am - 4:00 pm
• 8:00 am - 4:30 pm
• Overtime (OT) available after training if requirements are met

Responsibilities:

• Applies payments and adjustments to patient accounts as appropriate.
• Counsel patients regarding financial obligations related to account balances.
• Follow up with insurance payers for processing of appeals and errors including paper appeals or online portal entry as needed.
• Receive and resolve inquiries, concerns, or complaints related to patient accounts from patients, insurance carriers, employers, etc.
• Responsible for resolution and appropriate refunding of credit balances. Includes working credit balance reports as needed.
• Responsible for the review and resolution of denied claims on EDI reports.
• Responsible for timely review and release of charges on hold.
• Review and coding of patient medical record in compliance with standard coding guidelines.
• Review explanations of benefits for correct adjudication and payment according to applicable managed care contract terms and reimbursement.
• Review of unpaid claims, researching denials, and/or lack of activity to ensure timely payment and maintain cash flow.
• Review and update patient and insurance demographics as appropriate.
• Understand CPT, ICD-10, and HCPCS coding.
• Provide feedback to providers regarding documentation in medical records.
• Review and resolve EDI rejections and payer denials.
• Print and mail corporate statements and secondary claims.
• Review coding denials.
• Other duties as assigned.

Education and Experience:

• High school diploma or equivalent

Preferred:

• One year experience in customer service
• Experience in a physician office
• Previous Medical Billing experience
• Knowledge of medical terminology

Our Core Values:

• Team First
• Lift Others Up
• Share Openly
• Set and Crush Goals
• Delight the Client

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