Position Overview
Shine Bright Care, LLC is looking for a detail-oriented and proactive Medical Biller to manage the billing process, insurance verification, and collection efforts. The successful candidate will play a key role in maintaining financial integrity while ensuring compliance with healthcare regulations.
Key Responsibilities
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Meet with clients and guarantors to explain co-pays, deductibles, and insurance coverage.
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Verify patient insurance eligibility and complete prior authorizations.
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Submit and manage electronic and paper claims to insurance companies.
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Process billing files, identify errors, and prevent denials.
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Follow up on unpaid claims and manage outstanding A/R balances.
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Post payments and adjustments with accuracy and timeliness.
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Resolve billing issues with providers and AK Medicaid.
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Communicate effectively across departments and with external stakeholders.
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Perform additional duties as assigned.
Qualifications
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High School Diploma or GED required.
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Understanding of medical billing processes, ICD-10 codes, and insurance procedures.
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Ability to work independently with minimal supervision.
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Strong written and verbal communication skills.
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Computer literacy and familiarity with billing software.
Job Requirements
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Pass State of Alaska background check upon hire.
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Demonstrate job-specific skills within the first 3 months of employment.
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Complete annual mandatory in-services.
Physical & Technical Requirements
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Ability to sit or stand for long periods.
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Visual and auditory ability to perform duties effectively.
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Use of telephone, computer, copier, and fax machine.
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