Medical Biller

Hybrid/Remote Schedule consideration after training/introductory period.

Summary of Job Functions:

Performs medical billing to include chart review for assigning appropriate CPT and ICD-10 codes, claim preparation, claim submission, adjudication, and reconciliation utilizing The Arc of Anchorage’s electronic medical record. 

Essential Job Functions:

• Reviewing claims for accuracy and completeness and obtaining any missing information. 

• Preparing, reviewing, and transmitting claims using billing software
• Following up on unpaid claims within standard billing cycle timeframe.
• Checking insurance payments for accuracy
• Calling insurance companies regarding any discrepancy in payments if necessary
• Identifying and billing secondary or tertiary insurances.
• Researching and appealing denied claims.
• Updating billing software with rate changes.
• Posting insurance/patient payments (I had to use patient in there because in billing world, it just looks weird to use anything else)
• Assign ICD-10 and CPT codes to claims.
• Assist in service authorization requests for behavioral health services.

Knowledge, Skills, and Abilities:

• Knowledge of CPT and ICD-10 coding  
• Knowledge and understanding of billing procedures.
• Knowledge and understanding of HIPAA rules and regulations.
• Able to understand and explain EOBs.
• Knowledge of primary and secondary coordination of benefits
• Able to work in an integrated team. 
• Knowledge of general billing processes and procedures required to resolve claims for payment.
• Intermediate understanding of Microsoft 365 applications

Education and Experience:

• High school diploma or GED required.
• Experience in behavioral health billing or education in healthcare reimbursement, preferred.

Clearances:

• Background checks as defined by licensing agencies. 
• Valid driver’s license and proof of auto insurance
• TB Assessment

Physical Requirements:

• Sitting in a normal seated position for extended periods
• Finger dexterity is required to manipulate objects with fingers rather than whole hands (s) or arms.
• Communication skills using the spoken word.
• Hearing within normal range
• Seeing - within normal parameters 

Equipment Used:

• Computer (Intermediate Level)
• Appropriate Office Equipment

                                        The Arc of Anchorage is an Equal Employment Opportunity Employer