Health Biller

Lexington, MA 02420 | Temporary

Post Date: 05/02/2018 Job ID: 105911 Industry: Pay Rate: $18.00


ACE Employment is working with a national healthcare revenue billing company looking to hire a commercial health biller.   Great opportunity to join a growing team on a temp-to-hire basis.

 

Responsibilities:

• Initiate appropriate electronic billings to commercial insurance, Medicare Advantage and MassHealth MCOs per coverage and limitations.

• Responsible for claim follow up.

• 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.

 

• Minimum of three years of experience as a patient account representative in a hospital or medical office setting.

• Excellent interpersonal skills and strong team player.

• Knowledge of commercial payers (BCBS, Tufts, HPHC) billing requirements

• Knowledge of MCOs billing requirements

• Experience using Emdeon or related clearinghouse software

• Must understand various payor EOBs.

• Extensive track record of insurance company phone interactions to resolve billing and/or EOB questions.

• Thorough experience with multiple payor online system access

• Must be able to pass a CORI

 

About ACE Employment Services, Inc.: In 1989, ACE Employment Services, Inc. was founded to give companies in Massachusetts a personal and consultative approach to staffing. With a small internal staff and dedication, honestly and hard work we landed on the Boston Business Journal’ s Largest Temp Placement Firms in Massachusetts at #11. ACE Employment Services, Inc. is your partner for direct, temporary and temp-to-hire solutions. Learn more at www.AceBoston.net

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