Baltimore, MD

Job Description

Medical Biller
Baltimore, MD

MUST:
Experienced Medical Biller
3+ years of experience working in a medical billing office
3+ years of experience working in accounts receivable
General understanding and application of basic accounting principles
Working knowledge of Client, EPIC, or similar computerized billing system
Working knowledge of payers in specialty
Working knowledge of ICD-10 and CPT coding preferred
Understanding of: FSC's and pay codes used in Client system, contractual requirements for the job; importance of compliance with all government regulations regarding billing
High school diploma or general education degree (GED) preferred

DUTIES:
Serves as lead worker and trainer for junior level staff.
Enters charges accurately and timely, ensures charges are balanced and reconciled within department guidelines.
Reconciles posted and edited payments against the ERA (Electronic Remittance Advice).
Manually posts payments, contractual adjustments, and rejections from EOBs.
Reconciles deposits against bank statements and major vendors, Balance Client/IDX daily.
Breakdown of deposits by payer or FSC.
Reviews and resolve credit balance if refunds or contractual adjustments are needed, or charge correction performed.
Performs AR follow up on rejected claims.
Performs consistent follow up on open invoices by insurance class utilizing PCS or ATB.
Resolves BAR edits within department guidelines.
Resolves TES edits within department guidelines.
Resolves E-commerce edits within department guidelines.
Resolves accounts on the No Activity Report.
Resolves accounts on the AES reports.
Determines if appeal, follow up appropriate higher-level resolution is needed in a timely manner.
Researches and resolves insurance denials through written appeal, telephone call, web-based adjudication system, charge correction or write off request.
Attends charge correction class; corrects billing data elements in Client/IDX.
Perform other duties as assigned.

*Quadrant, Inc. is an equal opportunity and affirmative action employer. Quadrant is committed to administering all employment and personnel actions on the basis of merit and free of discrimination based on race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or status as an individual with a disability. Consistent with this commitment, we are dedicated to the employment and advancement of qualified minorities, women, individuals with disabilities, protected veterans, persons of all ethnic backgrounds and religions according to their abilities.