Description
Seeking an experienced, well-organized Medical Biller/Appeal Specialist for a growing women's health practice in Las Vegas, NV. Candidate must have experience in office based clerical work and is dedicated to patient care. We require an individual who is detail oriented, possesses strong customer service skills, can prioritize tasks, is energetic, dynamic and extremely organized . Must be able to work independently as well as in a team environment.
Essential Duties & Responsibilities
Claim submission and follow up
Knowledge of HMO & PPO products
Financial orientations with patients
Aging reports and follow up
Collection and Patient statement follow up
Provide assistance to the Physician and Practice Administrator as directed
Liaison between Physician, patients, and staff.
Perform clerical tasks such as texting, email, faxing, typing letters etc., appointment scheduling
Managing communications for ongoing correspondence as directed
Obtain and document all pertinent information in charts
Anticipate, assist and perform tasks as assigned by management and Physician
Maintain patient safety and privacy
Prepare reports as directed
Maintain individual provider files to include up to date information needed to complete the required governmental and commercial payer credentialing applications
Maintain internal provider grid to ensure all information is accurate and logins are available
Update each provider’s CAQH database file timely according to the schedule published by CMS
Apply for and renew annually all provider licenses; Professional, DEA, Controlled Substance
Complete revalidation requests issued by government payers
Complete credentialing applications to add providers to commercial payers, Medicare, and Medicaid
Complete re-credentialing applications for commercial payers
Credential new providers and re-credential current providers with hospitals at which they hold staff privileges
Work closely with the Revenue Cycle Director and billing staff to identify and resolve any denials or authorization issues related to provider credentialing
Maintain accurate provider profiles on CAQH, NPBD databases
Other duties as assigned
College Graduate preferred
Demonstrated strong written and verbal communication and interpersonal skills
Computer Skills strong computer skills required
Salary: Hourly rate based on experience
Hours: 7:00am-4:00pm Monday-Friday, Weekends & Holidays (as needed)
BENEFITS INCLUDE:
Health insurance
Dental insurance
Vision insurance
Paid time off
401(k)
Life insurance
401(k) matching
Disability insurance
Requirements
Minimum of 3 years of medical billing experience in a healthcare setting (experience in women’s health or fertility preferred but not required).
Strong knowledge of CPT and ICD coding.
Exceptional customer service skills, demonstrating professionalism in all interactions.
Ability to handle stressful situations calmly and effectively.
Excellent written and verbal communication skills.
