Medical Biller II

Millennium Health LLC is an accredited specialty laboratory with more than a decade of experience in medication monitoring and drug testing services, helping clinicians monitor the use and misuse of prescription medications and illicit drugs. The testing is used by healthcare professionals to obtain objective information about patients’ recent use of prescription medications and/or illicit drugs and helps monitor the effectiveness of treatment plans.

The following are intended to be examples of the accountabilities for which the person in this position is responsible.  This position is not intended to be complete or all-inclusive and does not preclude management from assigning other or related functions for which the individual has demonstrated competency through performance.

Essential Functions

• Daily data entry for medical claims into TELCOR (medical billing software system)
• Ability to meet individual and team goals with minimal errors as assigned by the Billing Manager Uphold Medicare, Medicaid, and HIPAA compliance guidelines about billing, collections, and PHI information.
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations
• Research to ensure all insurance, demographic, and eligibility information is obtained and entered into the system accurately.
• Evaluate patient accounts for existing insurance coverage
• Identifying and resolving Payor errors by researching the Payor’s website or contacting the Payor Provider Relations department.
• Obtain and assess all documentation required for eligibility determination.
• Initiate and maintain proper follow-up to ensure timely processing and completion of all mandated applications and accompanying documentation.
• Adhere to internal protocols and contractual obligations as they apply to specific payor requirements.
• Develop system solutions to eligibility engine mapping responses.
• Reviews problematic accounts, and makes recommendations to the Eligibility Supervisor as needed.
• Participate in educational activities and attend weekly staff meetings.
• Submit authorization requests for drug testing services to various payers and all tasks associated with their follow-up and review.

Requirements

• 1+ years of healthcare medical billing experience
• Knowledge of business office procedures
• Insurance basics, PPO, HMO, POS, Capitation, Workers Comp, Mva
• Government programs such as Medicare, Medicare HMO, Medicaid, Medicaid HMO, Tricare, Veterans Affairs, Blue Cross Blue Shield Federal
• Excel, create and maintain spreadsheets.
• Word.
• Proficient in 10 key.
• Exceptional Customer Service.
• Ability to communicate clear and concise information.
• Typing speed of 40 wpm.
• Organized and detail-oriented.
• Ability to ensure HIPAA, Confidentiality and Compliance policy, procedures, and standards are always adhered to.
• Ability to ensure administrative, physical and technical cyber security controls are always adhered to.

Benefits

• Medical, Dental, Vision, Disability Insurance 
• 401k with Company Match  
• Paid Time off and Holidays 
• Tuition Assistance 
• Behavioral and Health Care Resources 

POTENTIAL HIRING RANGE:

• $17.00-$18.50 per hour
• Offers are based on location, skills, knowledge, and abilities of the selected candidate.

Millennium Health is an Equal Opportunity/Affirmative Action Employer and E-verify participant. All qualified applicants will receive consideration for employment without regard to race, color, creed, sex, national origin, disability, gender identity, sexual orientation or protected veteran status.

California Employee Privacy Notice - Millennium Health LLC

https://www.dol.gov/ofccp/regs/compliance/posters/ofccpost.htm