Medical Biller 1 | Community Medical Services

Job title: Medical Biller 1

Company: Community Medical Services

Job description: Overview:Schedule: 5:30AM – 1:30PM – hybrid (2 days in office and 3 days remote)Community Medical Services (CMS) is hiring a Medical Biller 1 for submission of electronic claims and follow up on unpaid claims. This role will also be responsible for data entry and client demographics verification along with posting of insurance and patient payments. In addition, this role will manage denials and claims resubmission, and have regular communication with insurance companies.As you join our mission to help those suffering from substance use disorders reclaim their lives, expect to thrive in a comfortable, welcoming, and fun environment where you are valued for the work you do, championed by passionate leaders, and equipped with the tools and ongoing training you need to achieve your goals.Along the way, we’ll invest in your well-being through a benefits package for full-time employees that includes:

Subsidized medical, dental, and vision insurance
Health savings account
Short and long-term disability insurance
Life insurance
Paid sick, vacation, and holiday time
401K retirement plan with match
Tuition and CME reimbursement up to 100%
Employee assistance program to support your mental health and wellness
Ongoing professional development

Responsibilities:As you join our mission to help those suffering from substance use disorders reclaim their lives, expect to thrive in a comfortable, welcoming, and fun environment where you are valued for the work you do, championed by passionate leaders, and equipped with the tools and ongoing training you need to achieve your goals.Along the way, we’ll invest in your well-being through a benefits package that includes:

Subsidized medical, dental, and vision insurance
Health savings account
Short and long-term disability insurance
Life insurance
Paid sick, vacation, and holiday time
401K retirement plan with match
Tuition and CME reimbursement up to 100%
Employee assistance program to support your mental health and wellness
Ongoing professional development

Qualifications:

Basic knowledge of CPT/ICD10 coding, insurance cards, and medical benefits.
Patient statements and Superbill Request.
Manual Billing for Grant Payers.
Ability to bulk process AR.
Experienced with using Microsoft Windows, Outlook, Work, Excel.
Posting denials and or writeoff’s timely with the appropriate reason codes.
Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.
Meeting with insurance companies on claim trends and escalations.
Submit appeals to insurance companies.
Ability to work in a fast-paced team environment while exhibiting strong interpersonal skills.
Run and utilize weekly aging AR reports to follow up on outstanding claims.