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