Sinus and Snoring MD Hiring for Medical Billing Representative Job at Kenosha, WI Full Time

About us

Sinus and Snoring MD is an ear, nose and throat clinic that specializes in the treatment of sinus and snoring conditions. Our focus is to improve the breathing and sleeping of our patients, so they have improved quality of life. Our founder, Hilel Swerdlin, MD, is a leading expert and a Fellow and Examiner of the American Academy of Otolaryngic Allergy. He has been involved in the advancement and training of other physicians, and in the latest developments in nasal, sinus, allergy and snoring treatments. Dr. Colleen Plein is our other provider expert, and we have three physician assistants who compliment the two providers. We pride ourselves in providing excellent patient care and treating each patient as family.

JOB SUMMARY: Medical Biller / Collector

Busy ENT physician’s office in Kenosha area- Responsibilities include:

• Charge entry and review of CPT and ICD-10 codes for office and surgery visits, apply modifiers, submit electronic and paper claims to the insurance. (Primary and Secondary)
• Payment posting ERAs and Manual, Insurance and Patient payments
• Insurance AR follow up, research unresolved claims, appeal claims process, work rejected and denied claims via clearinghouse TriZetto or paper correspondence.
• Patient AR follow up, send out statements and call patients on outstanding accounts
• Receive and initiate patient calls to resolve billing or payment concerns
• Review HCFAs, Gateway, TriZetto, and Emdeon electronic edits for submission to Insurance
• Back up for insurance verification, pre-authorizations, and pre-certifications.

QUALIFICATIONS:

High school diploma or equivalent. Bilingual in Spanish a plus! All potential candidates must be a team player and self-starter. Have strong communication, organizational and computer skills. Medical billing and Insurance background, knowledge of medical terminology, CPT, ICD-10, and experience in reading EOB’s is required. Experience with eClinicalWorks, Gateway, TriZetto, and Emdeon is desired. Knowledge, or the ability to learn, HIPAA and patient privacy rules. Experience with Microsoft Office/Excel.

Job Type: Full-time

Pay: $18.00 – $28.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Health insurance
• Paid time off

Schedule:

• Day shift
• Monday to Friday

Application Question(s):

• Do you have experience in otolaryngology billing?
• Do you have experience with eclinical works (eCW) system?

Education:

• High school or equivalent (Required)

Experience:

• Medical billing full cycle: 1 year (Required)

Language:

• Spanish (Preferred)

Work Location: One location