Third Party Biller - Medicare & Network Health Biller
The Third Party Biller is responsible for processing payments and denials from one or more third party payors. The Third Party Biller will produce electronic claims files and paper claims, submit claims to third party payors, process remittance advices, and resolve denied claims. In addition, he/she will identify trends related to claims payment and denials for actionable steps for the organization. The Third Party Biller facilitates improvements through inter/intra-departmental work groups to correct system-based inefficiencies that are negatively impacting revenue.
High school diploma or GED required. Associates degree in Medical Billing and Coding preferred. Relevant work experience with post-secondary training may be substituted for AS degree.
Two to four years of experience in third party billing, medical coding, and working with private and publically funded health insurance organizations. One to three years of experience with electronic practice management, MMIS, NEHEN, and third party web portals strongly preferred.
Experience with Medicare IVANs system strongly preferred.
Must have proficiency with MS Office Suite 2003 (Excel, Word, Outlook). Writing, communications, and math skills required needed.
The individual must be able to work in a fast paced office environment, facilitate a high level of customer satisfaction, and foster team-work across the organization.
Certification in Medical Coding and Billing strongly preferred.
Since 1970, Family Health Center of Worcester has offered comprehensive primary care, urgent care, dental, mental health, health education,...