Job Description

Company Description

LA Medical Associates is a multi-specialty medical group operating seven medical clinics in Palm Beach County. Our services encompass Primary Care and Podiatric Medicine & Surgery, provided by a team of experienced medical professionals dedicated to addressing your healthcare requirements. We pride ourselves on delivering quality medical care using advanced in-house technology. Our top priority is and always will be ensuring quality patient care.

Role Description

This is a full-time on-site role for a Medical Biller at our location in West Palm Beach, FL. The Medical Biller will be responsible for accurately processing and submitting medical claims, verifying patient insurance, ensuring compliance with healthcare laws, and handling patient billing inquiries. The role also includes maintaining patient billing records and working closely with healthcare providers to ensure accurate billing information is provided.

Qualifications

• **ICD-10 Coding:** Accurately assign ICD-10 diagnosis codes to patient encounters based on medical documentation and coding guidelines.
• **Claim Submission:** Prepare and submit electronic and paper claims to insurance payers in a timely manner, ensuring compliance with payer requirements and regulations.
• **Claim Follow-Up:** Monitor claim status, identify and resolve claim rejections, denials, and pending issues to expedite payment processing.
• **Payment Posting:** Post payments, adjustments, and denials accurately into the billing system, reconciling payments with billed amounts and contractual agreements.
• **Registration Issue Resolution:** Address and resolve registration-related issues such as insurance verification, demographic updates, and eligibility discrepancies to ensure accurate billing and claims processing.
• **Appeal Claims:** Analyze denied claims, identify reasons for denials, and prepare and submit appeals to insurance payers for reconsideration.
• **Reconciliation:** Conduct regular reconciliation of accounts receivable, identifying discrepancies and taking necessary actions to resolve outstanding balances.
• **Compliance:** Maintain knowledge of current billing regulations, coding guidelines, and payer policies to ensure compliance with industry standards and regulations.

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