MedLabs Diagnostics

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 - Required
  • CPB Certification - Preferred
  • Lab Experience - Preferred
  • Billing and Coding Certified - Preferred.