Job Descriptions Job ID: BL001 Department: Billing Job Title: Medical Professional Biller - A/R Location: 85 Horsehill Road, Cedar Knolls State: NJ Job Summary: Understanding of the various types of insurance plans.Application of payer policy, Local Coverage Determinations (LCD), and National Coverage Determinations (NCD) for successful claim submissions.Knowledge of CPT®, ICD-10-CM, and HCPCS Level II coding guidelines.Successful navigation of the varying rules and regulations applying to the healthcare industry, including HIPAA, False Claims Act, Fair Debt Collections Act, and Stark.Understanding of the life cycle of a medical billing claim and how to improve the revenue cycle.Expertise in effective claim follow-up, patient follow-up, and denial resolution.Knowledge of how to submit claims in accordance with government regulations and private payer policies, follow-up on claim statuses, resolution of claim denials, appeals submission, posting of payments and adjustments, and collections management. Requirements: Medical Billing - 1 year experience minimum - Required MS Excel, Basics - RequiredCPB Certification - PreferredLab Experience - PreferredBilling and Coding Certified - Preferred.To apply for this position email your resume and cover letter to dlisnic@MedLabDx.com.
