Insurance Biller

Exela Technologies Inc. Philadelphia , PA 19107

Posted 2 months ago

Medical Insurance Biller

Position Purpose:A medical claims processor is responsible for processing medical claims, ensuring accuracy and performing daily maintenance of computer records.

Principle Duties & Accountabilities:

  • Enters claims data into system while interpreting coding and understanding medical terminology in relation to diagnoses and procedures

  • Create and submit insurance claims on behalf of patients

  • Ensure accurate entry of all work into the designated computer system

  • Complete claim forms, submit bills and claims, perform quality control procedures on all claim forms and detail bills to ensure accurate billing

  • Research and obtain incomplete or additional information for billing requirements

  • May adjudicates for allocation of deductibles, co-pays, co-insurance maximums and provider reimbursements

  • Provides prompt customer service to members, providers, billing departments and other insurance companies regarding claims

  • Respond to department or management requests for information and assistance

  • Maintain current expertise of coding, contracts, rules and requirements

  • Receive and process phone call and correspondence

  • Generate daily reports and review reports for accuracy

  • Demonstrates high levels of safety awareness to achieve safety objectives

  • Follows the security and privacy policies, standards and guidelines in order to protect the informational assets of both the company and their customers

  • Other duties as assigned

Qualifications for Position

  • One year Insurance Billing experience required

  • High school diploma or GED required

  • Strong ten key by touch skills and strong computer skills, including keyboarding

  • Must be detail oriented and able to work in a high volume environment

  • Strong customer service skills

  • Good verbal and written skills

  • Demonstrates knowledge of and supports company standards, policies and procedures, operating instructions, confidentiality standards, and code of ethical behavior

  • Knowledge of ICD-9/10 and CPT-4 Coding

Qualifications for Position (continued)

  • Working knowledge of contract insurance, HMO's, PPO's, Medicare/Medicaid, bankruptcy regulation and laws

  • Understand collection rules and regulations

Physical Requirements:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Repetitive motion is required:

  • Required to work at computer for long periods

  • Required to stand, walk, simple grasp, reach with hands and arms

  • Required to regularly sit, talk and listen

  • Required to possess close vision and ability to focus

  • Conditions include normal call-center office environment.Occasional exposure to dust, dirt, toner, ink and other environmental factors is possible.
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Exela is a proud sponsor of the 100,000 jobs Mission to employ America's veterans. We believe that hiring veterans is not only the right thing to do for veterans, but it's a great thing to do for our business. Our Nation's military veterans represent the best this country has to offer and they bring meaningful skills to the workplace. Additionally we are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identification, disability or veteran status.

EOE/Minorities/Females/Veterans/Disabled


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Insurance Biller

Exela Technologies Inc.