What is your mission? 

You will provide the best service to our partner brands by performing these tasks:

• Ensure all data related to billing are accurate and inputted in the database - prior authorizations, letters from law firms, referrals, etc.
• Verify US health insurance eligibility for all appointments/patients.
• Prepare and submit claims with appropriate ICD-10 and CPT/HCPCS codes related to the visit/procedure to insurance carrier.
• Work on insurance denials, rejections, and or/ any outstanding claims by submitting corrected claims, reconsideration, and appeals.
• Make outbound calls for any billing-related issue - claim status/issues to insurance carriers, patient inactive insurance and/or subrogation issue, etc.
• Posting electronic remittance advice (ERA) and or/ explanation of benefit (EOB).
• Answer calls or correspondence from patients, law firms, and/or insurance companies for billing inquiries, collect patient payments, and/or manage billing arrangements.
• Follows U.S. HIPAA guidelines for security and PHI.

Who are we looking for?

• At least 1 to 2 years of medical billing experience, preferably in a Pain Management setting.
• Understanding of medical authorization, referral, and US health insurance carriers.
• Familiarity with the medical claim cycle/healthcare revenue cycle management (RCM) process.
• Proficiency with contractual terms, medical terminology, and the appropriate usage of ICD-10 and CPT/HCPCS in billing .
• Demonstrate proficient use of EMR/EHR systems, preferably PrognoCIS & EclinicalWorks, or similar systems with billing and patient registration process.
• Outstanding problem-solving and organizational abilities.
• Ability to thrive in a dynamic, fast-paced environment and demonstrate a high level of productivity in all assigned tasks.