As a Medical Biller, you will play a crucial role in ensuring accurate and efficient billing to Major Medical payers for Home Infusion and Specialty product lines. Your responsibilities include maintaining high standards of accuracy, meeting performance goals, and resolving issues related to high dollar accounts receivable. You will collaborate with internal and external stakeholders to optimize the patient experience while adhering strictly to HIPAA, policies, procedures, and compliance requirements.
Required Knowledge, Skills & Training
High School Diploma or equivalent from an accredited institution.
Fluency in both Spanish and English.
Minimum Of 1 Year Of Relevant Experience.
Preferred experience in pharmacy, home infusion, or specialty pharmacy drug billing.
Proficiency in Microsoft Office (Word, Excel).
Strong interpersonal skills with a focus on customer service.
Ability to thrive in a fast-paced environment.
Excellent organizational skills with a keen eye for detail.
Essential Job Duties
Ensure timely and accurate submission of invoices to payers for products and services.
Verify quantities and prices for nursing services accurately.
Confirm proper authorization and documentation prior to billing.
Submit invoices only for authorized and confirmed services and products.
Complete and verify all billing documentation thoroughly before claim submission.
Adhere strictly to Regulatory and Payer Guidelines, as well as organizational policies and procedures.
Employee Benefits
Comprehensive medical coverage through BCBSL Medical.
Dental and vision benefits through Delta Dental and EyeMed Vision.
401k retirement savings plan.
Accident and Critical Illness insurance coverage.
Life insurance benefits.
Paid Time Off (PTO), Holiday Pay, and Floating Holidays.
Tuition reimbursement opportunities.
Employment Type: Full-Time
Seniority level
Entry level
Employment type
Full-time
Job function
Health Care Provider
Industries
Human Resources Services
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