Job details

Medical Biller II

Get a free resume review

Millennium Health LLC is an accredited specialty laboratory with more than a decade of experience in medication monitoring and drug testing services, helping clinicians monitor the use and misuse of prescription medications and illicit drugs. The testing is used by healthcare professionals to obtain objective information about patients’ recent use of prescription medications and/or illicit drugs, and helps monitor the effectiveness of treatment plans.

Under general supervision, monitors and initiates claim appeals on all insurance claims and pending receivables after final bill. This position will be expected to maintain a comprehensive understanding of general coding and billing compliance, the adjudication process, and contractual obligations specific to various payers

The following are intended to be examples of the accountabilities for which the person in this position is responsible. This position is not intended to be complete or all-inclusive and does not preclude management from assigning other or related functions for which the individual has demonstrated competency through performance.

Prepares appeal letters to insurance carrier when not in agreement with claim denial. Collect necessary information to accompany appeal
Understanding of reason and denials codes from payors. Able to resolve claim denials based on reason codes
Verify patient eligibility and resolve any problems
Contact customers to verify insurance information
Contact insurance companies to resolve payment issues
Identify areas for improvement within the billing department
Work to decrease A/R days to industry standards
Identifies payor trends and works to resolve
Correct claims for re-submission
Assists with monthly close functions
Ability to establish and maintain effective working relationships
Able to reach and maintain department productivity and quality goals
Ability to meet individual and team goals with minimal errors as assigned by the Billing Manager Uphold Medicare, Medicaid, and HIPAA compliance guidelines in relation to billing, collections, and PHI information
Participates in educational activities and attends staff meetings
Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations
Regular and reliable attendance
Ability to ensure HIPAA, Confidentiality and Compliance policy, procedures, and standards are always adhered to.
Ability to ensure administrative, physical and technical cyber security controls are always adhered to.

High school diploma or GED required
Minimum 3+ years of insurance billing and collection experience
Knowledge of business office procedures
Knowledge of paper and electronic claim requirements
Expert knowledge on insurance and reimbursement process
Familiarity with HIPAA privacy requirements for patient information. Maintains and protects confidential information
Understanding of medical ICD-9 codes and CPT medical billing codes
Proficient in the use of computers and common office equipment
Good math and data entry (typing) skills
Ability to read, understand, and follow oral and written instructions
Exercises good judgment and discretion
Good verbal and written communication skills
Good telephone and patient relations skills
Detail-oriented and able to prioritize work
Works with minimal direction and oversight
Must be flexible to work overtime as necessary

Medical, Dental, Vision, Disability Insurance
401k with Company Match
Paid Time off and Holidays
Tuition Assistance
Behavioral and Health Care Resources
Mileage reimbursement & monthly car stipend

Potential Hiring Range:

Salary Range: $18-21/hr.
Salary offered is dependent on qualifications, experience, and geographical location.

Millennium Health is an Equal Opportunity/Affirmative Action Employer and E-Verify participant. All qualified applicants will receive consideration for employment without regard to race, color, creed, sex, national origin, disability, gender identity, sexual orientation or protected veteran status.

California Employee Privacy Notice - Millennium Health LLC

https://www.dol.gov/ofccp/regs/compliance/posters/ofccpost.htm

Average salary estimate

$40560 / YEARLY (est.)

min

max

$37440K

$43680K

If an employer mentions a salary or salary range on their job, we display it as an "Employer Estimate". If a job has no salary data, Rise displays an estimate if available.

What You Should Know About Medical Biller II, Millennium Health

Are you ready to take your medical billing career to the next level? Join the team at Millennium Health LLC as a Medical Biller II! We are a leading specialty laboratory with over ten years of experience in medication monitoring and drug testing services. In this role, you'll play a vital part in ensuring that insurance claims are processed accurately and efficiently. You'll be responsible for monitoring and initiating claim appeals, resolving payment issues, and verifying patient eligibility, all while keeping up with the latest coding and billing compliance guidelines. Your keen attention to detail and excellent communication skills will be crucial as you prepare appealing letters to insurance carriers and navigate denial codes to resolve claim denials effectively. We value teamwork and are looking for someone who can collaborate with others to meet departmental productivity and quality goals. With a solid understanding of the insurance and reimbursement process, you will consistently uphold Medicare, Medicaid, and HIPAA compliance while maintaining the confidentiality of patient information. In return for your dedication, we offer competitive pay, a comprehensive benefits package, and opportunities for professional growth. If you thrive in a fast-paced environment and are keen to make a difference in healthcare billing, we would love to hear from you!

Frequently Asked Questions (FAQs) for Medical Biller II Role at Millennium Health

What are the primary responsibilities of a Medical Biller II at Millennium Health LLC?

As a Medical Biller II at Millennium Health LLC, you will be responsible for monitoring and initiating claim appeals, correcting claims for re-submission, and ensuring timely resolution of payment issues. You'll also verify patient eligibility and work proactively to decrease accounts receivable days, all while maintaining compliance with Medicare, Medicaid, and HIPAA guidelines.