Medical Biller

Overview

Description: 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. The position will manage denials and claims resubmission and have regular communication with insurance companies. Schedule is hybrid (3 days in office and 2 days remote) after 30 days of in-person training.

• Submit electronic claims and follow up on unpaid claims
• Data entry and client demographics verification
• Post insurance and patient payments
• Manage denials and claim resubmission
• Communicate regularly with insurance companies
• Run and utilize weekly aging AR reports to follow up on outstanding claims
• Submit appeals to insurance companies
• Prepare, review, and transmit claims using billing software (electronic and paper processing)
• Meet with insurance companies on claim trends and escalations
• Bulk process accounts receivable (AR)
• Post denials or write-offs timely with appropriate reason codes

• 3-5 years experience as a medical biller
• HS Diploma or GED
• Basic knowledge of CPT/ICD
  10 coding, insurance cards, and medical benefits
• Experience with patient statements and superbill requests
• Manual billing for grant payers
• Ability to bulk process AR
• Experience with Microsoft Windows, Outlook, Word, and Excel
• Posting denials and/or write-offs timely with appropriate reason codes
• Meeting with insurance companies on claim trends and escalations
• Ability to work in a fast-paced team environment with strong interpersonal skills
• Prepare, review, and transmit claims using billing software (electronic and paper)

• 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 mental health and wellness
• Ongoing professional development

Community Medical Services (CMS) is a CARF-accredited addiction treatment program providing outpatient medication-assisted treatment and one-on-one and group counseling for opioid use disorder. Headquartered in Arizona with more than 70 treatment clinics in 14 states, CMS is dedicated to meeting the challenges of the opioid epidemic in communities where treatment is lacking.

We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, sex, disability status, sexual orientation, gender identity, age, protected veteran status or any other characteristic protected by law. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.