Experience Inc. Jobs

NOW HIRING MEDICAL BILLERS IN HARRISBURG, PA!!

*These positions will start fully on-site but do have the ability to become hybrid

General Summary:

To provide thorough follow-up and/or re-billing of unresolved hospital (UB04) and possibly physician (1500) insurance claims. The project has claims from a variety of payer types including Medicare, Medicaid, Managed Care, Blue Cross Blue Shield, and Commercial insurance companies.

Essential Job Functions:

• Responsible for performing claim research and electronic claims follow-up work with multiple insurance companies either by electronic system or phone depending on insurer, to resolve accounts which have been billed but remain unresolved.

o Reviewing notes on client systems to see what work has already been performed.

o Determining next steps by either using electronic tools or calling the insurance company to determine claim status, depending on insurer.

o If no claim is on file, it will need to be re-billed electronically through the client's systems.

o If a claim is rejected, find out why and make a determination if it can be re-billed with proper information, if it should be patient responsibility, or if it is a timely filing issue.

o If coding needs to be changed, submit to appropriate group for review.

• Work specific payers/insurers and accounts as assigned by management.

• Responsible for submitting accounts to be written off or changed to patient responsibility.

• Responsible for claim denials and determining how to resolve the claim either by correction, re-billing, or if it was rejected authorization issues.

• Maintaining a productivity of 25 accounts/day with a 90% quality rating.

• Responsible for working from multiple computer systems simultaneously and learning them quickly.

• Perform limited training and support to billing associates being moved to a new client or those simply needing assistance.

• Receive ongoing training on different payer mixes, clients, and client systems.

• Following all Federal and State guidelines concerning the proper handling of medical receivables.

• All other duties as assigned by management.

Additional Skills & Qualifications:

• Employee must be comfortable with the following: Microsoft Windows operating systems (Windows 7 and 10), Microsoft Office Productivity Suite (Word, Excel, and Outlook version 2016)

• Minimum of 3 years' experience in a hospital, physician business office or with a 3rd party vendor performing billing and claim follow-up work

• Experience with at least one of these payer types is required, with multiple being preferred: Medicare, Medicaid, Managed Care, Blue Cross, or Commercials (Aetna, Anthem, Cigna, UnitedHealthcare, Humana)

• Must possess a high school diploma or GED. Technical schooling in medical billing/coding and/or a college degree in a related field is preferred.

• Thorough knowledge of medical terminology (EOB's, DRG's HCPCS's, CPT & ICD codes, etc.).

• Experience with UB04 forms.

• Working knowledge of medical billing systems and normal healthcare billing workflows.

  About TEKsystems:

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.