Enrollment & Billing Representative jobs in Carlsbad, CA

Description

The Medical Biller is responsible for reviewing billing and booking revenue and processing claims within the billing software (Bright Tree). The expectation of this position is to provide a first class service experience, with every interaction.

BILLER RESPONSIBILITIES

• Fluently works in Bright Tree computer system to perform daily job duties.
• Responsible for billing sleep studies & DME.
• Reviews and corrects sales orders before submitting.
• Reviews sales order for completion, adding details as necessary.
• Books revenue timely and runs reports for management on a daily, weekly and monthly basis.
• Prints and mails out paper claims on a daily basis.
• Ensures all related price quotes given to patients are appropriate and meet current company pricing policy.
• Any other project assigned, including batching and scanning EOB’s (explanation of benefits) for patients.
• Responsible for keeping all patient details and information orderly, confidential, current and HIPAA compliant at all times.
• Performs clerical duties such as filing, photo copying, data entry, scanning.
• Completes Insurance Verification and Pre-Authorization as necessary.
• Performs Coding and Claims Submission as necessary.
• Works closely with internal departments and insurance companies to ensure reimbursement.

Requirements

QUALIFICATIONS

• Strong commitment to patient care, customer service, friendly, helpful and caring nature is required.
• Knowledge of all commercial, government, managed care, and federal health insurance plans.
• Strong communication and problem solving skills.
• HS degree or equivalent required.
• 1-3 years’ experience in billing and/or collections.
• DME (Durable Medical Equipment) and CPAP experience preferred.
• Experience in insurance verification and authorization processes.
• Proficiency in understanding EOBs, Coordination of Benefits, and managing patient financial counseling for services.
• Experience with complex medical billing software and EMRs and submitting electronic claims.
• Must be knowledgeable in Patient Rights and Responsibilities, including HIPAA.
• Experience with Brightree DME billing software is preferred.

BetterNight is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with contractor's legal duty to furnish information. 4I CFR 60-I.35(C)