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Insurance Biller
Date Posted: 03/13/2024
Job #: 2990685
Location: Denver
Position Summary
Performs all aspects of third party payor medical billing and ensures accurate
and timely billing of receivables. Audits and bills claims according to
federal, state, and payor regulatory and compliance requirements.
Essential Duties
Executes patient accounting system downloads and claim editing software daily
procedures on a rotation basis with other insurance billers. Reconciles data
from patient accounting systems to claim editing reports and resolves any
discrepancies. Identifies and reports any system network problems to
Application Analyst or Supervisor.
Has a thorough understanding of CPT, HCPCS & ICD-10 codes, HCFA and UB04
claim forms and can understand payor EOBs and ERAs.
Performs team's third party payor billing (primary, secondary,
tertiary) using claims editing software. Reviews claims for accuracy and
completeness and obtains any missing information.
Facilitates submission at time of billing for medical records or other
documentation when required by payor for appropriate claims processing.
Evaluates and researches claims billing denials and reject reports in a timely
manner. This includes pulling patient insurance information, verifying
patient eligibility, researching payor websites, and/or calling payors
for assistance regarding the denial or reject reasons.
Researches incomplete charges, registration, or diagnosis information with
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