[Hiring] Medical Biller @Omega

Role Description

Performs the review and confirmation of work orders prior to billing, by verifying accuracy of order and required documentation such as prescriptions, certificates of medical necessity, prior authorizations, diagnosis and procedure codes.

• Monitors the confirmation work queue to ensure timely confirmation of work orders.
• Tracks incomplete information and communicates feedback to management and intake staff.
• Works accounts receivable aging reports performing follow up in accordance with policies and procedures.
• Generates and processes statements and claim forms in an accurate and timely manner.
• Obtains, verifies and maintains customer demographics and insurance information for billing purposes.
• Works to resolve carrier denials and correspondence for proper payment of claims.
• Shares responsibility through timely communication of identified problems to assure proper follow up is completed to expedite claims and ensure proper payment.
• Identifies potential discrepancies in claims payment processing.
• Answers questions and resolves problems related to billing operations.
• Provides clear documentation of all communication related to accounts in account or claim notes.
• Reviews credit balance accounts on a monthly basis.
• Prepares appropriate paperwork when refunds are warranted, based on history of account and contractual agreements; forwards to Lead Billing Account Specialist for approval and processing.
• Assists clients with questions, payments and account resolution.
• Makes payment arrangements and processes statements and takes collection measures when necessary.
• Maintains current knowledge of carrier specific requirements by attending workshops, reading newsletters and acting as liaison in carrier meetings.
• Provides communication and teaching to Billing Account Specialists, Payment Posting Specialist and Billing Records Technician.

Qualifications

• High School or Vocational School graduate.
• All staff are expected to participate in appropriate continuing education as may be requested and/or required by their immediate manager.
• Staff are expected to accept personal responsibility for other educational activities to enhance job-related skills and abilities.
• All staff must attend mandatory educational programs.
• Proficient in Microsoft Office software.
• Previous medical office experience.
• Familiar with billing codes i.e., HCPCS, Revenue, CPT Coding, Diagnosis Coding, etc.
• HME AND BRIGHTREE EXPERIENCE REQUIRED.
• Experience with Epic is Required.

Benefits

• Comprehensive benefits package that may include health, dental, and vision coverage.
• Voluntary insurance options.
• 401(k) plan with employer match.
• Professional development opportunities.
• Paid time off and holiday pay.
• Opportunity to participate in bonus programs, commissions, or other variable incentive plans.

Company Description

Founded in 2003, Omega Healthcare Management Services® (Omega Healthcare) empowers healthcare to thrive via intelligent solutions that optimize revenue cycle operations, administrative workflows, care coordination, and clinical research on a global scale. The company works with providers, payers, life science companies, medical device manufacturers, health technology firms, researchers, and industry partners to amplify teams with robust technology, specialty expertise, and operational support. Omega Healthcare serves more than 350 healthcare organizations with 35,000 skilled workers in the United States, India, Colombia, and the Philippines.