Commercial Health Biller
Lexington, MA | Direct Hire
Our client, a national revenue cycle company is seeking a Commercial Health Biller to join their team. In this direct (permanent) role you will initiate appropriate electronic billings to commercial insurance, Medicare Advantage and MassHealth MCOs per coverage and limitations.
- Follow up with claims
- Work with various staff to investigate and correct problems according to established procedures.
- Work with commercial insurance companies, MCOs and Medicare Advantage plans to identify status of accounts and obtain rapid resolution.
- Resolve all denials and initiate appropriate appeals
- Research customer complaints regarding accounts.
- Access online EOBs and accurately research claims.
- Use various systems to communicate, track, present and share information.
- Previous commercial health billing experience required
- Knowledge of HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
- Effective communication abilities for phone contacts with insurance payers to resolve issues
- Customer service skills for interacting with patients regarding medical claims and payments