Medical Biller

Company: CMU Medical Education Partners
Location: Saginaw
Posted on: May 23, 2023

Job Description:

The Medical Biller works in direct support of one or more clinical programs, ensuring professional service activity for all ambulatory and inpatient locations is captured and appropriately billed to patients and third parties. Experience working within various EHRs is required, experience with Allscripts/Sunrise and Epic preferred. The Medical Biller receives, prepares, processes, and maintains documents germane to billing while utilizing systems and processes established as operational best-practices.
+ Ensures documentation necessary for billing of professional services for both inpatient and ambulatory activity, in all locations and EHRs, is captured and billed timely.
+ Prioritize daily work to ensure achievement of established productivity and A/R goals.
+ Effectively manage claims follow-up, aging and claim denial work queues to ensure maximum reimbursement for services provided.
+ Initiate and track appeals following appropriate payer guidelines.
+ Identify issues impacting A/R and proactively communicate those issues.
+ Interprets government, commercial, WC, Auto and TPL remittance advices and makes appropriate corrections to unpaid claims for resubmission.
+ Review and release claims to payers.
+ Works with Patient Accounts personnel in regard to self-pay accounts.
+ Communicates effectively with clinical staff and other staff members of the Revenue Cycle Department.
+ Experience with both ambulatory and inpatient professional billing, particularly with a focus on Surgical or Multi-Specialty programs is preferred.
+ Three years medical billing experience preferred.
+ Medical Billing related credentials from a certifying institution preferred.
CMU is an AA/EO institution, providing equal opportunity to all persons, including minorities, females, veterans, and individuals with disabilities.
ID: 2022-1531
External Company Name: CMU Health
External Company URL: https://cmuhealth.org/physiciancareers
Telecommute: No

Keywords: CMU Medical Education Partners, Saginaw , Medical Biller, Healthcare , Saginaw, Michigan