Medical Biller / Aging SpecialistPosition SummaryWe are seeking a Medical Biller / Aging Specialist to support the day-to-day management of accounts receivable and insurance claims for VIVA Pediatrics. This full-time role is responsible for monitoring claim aging, researching and resolving unpaid claims, managing denials and rejections, submitting appeals and corrected claims, and ensuring claims are billed accurately and timely. The Medical Biller / Aging Specialist works closely with the Billing Manager to maintain accounts receivable standards, resolve claim issues, identify root causes of billing problems, and help keep outstanding claims within established billing cycle timeframes. Full-Time | Monday–Friday | 8:00 AM–5:00 PM Occasional extended hours and possible weekend work may be required based on business needs. Major Responsibilities- Follow up daily on assigned insurance claims and claim reports
- Monitor accounts receivable aging and work assigned claims to help keep aging below 90 days
- Research claims and refile or appeal claims as necessary by phone, paper, or online
- Review and audit client accounts to determine whether claims were billed correctly
- Monitor payer rejections and denials, research the cause, and reprocess claims as necessary
- Research and resolve unpaid claims within standard billing cycle timeframes
- Submit timely appeals for denied claims
- Assist with claim resubmission projects as needed
- Work with the Billing Manager to identify denial trends and streamline billing procedures
- Ensure claims are billed accurately and within required timeframes
- Identify and correct claim errors on a daily basis
- Review partial and underpayments and maintain accurate tracking for claim resubmission and follow-up
- Handle correspondence from insurance carriers, including denials and requests for additional information
- Verify insurance eligibility and benefits for assigned clients
- Identify and bill secondary and tertiary insurance coverage when applicable
- Answer patient and insurance telephone inquiries related to assigned accounts
- Ensure account write-offs are properly documented and approved by management
- Maintain accurate documentation and follow established billing policies and procedures
- Identify billing issues and recommend root-cause solutions
- Perform other duties as assigned
Qualifications- Two years of Accounts Receivable experience preferred
- Healthcare billing or healthcare industry experience preferred
- Bachelor's degree in Business Administration preferred
- Knowledge of Medicaid and commercial insurance carriers
- Ability to read and understand Explanation of Benefits (EOBs)
- Strong analytical and problem-solving skills
- High attention to detail and accuracy
- Strong organizational and time-management skills
- Ability to manage multiple assignments concurrently and establish appropriate timeframes
- Strong verbal and written communication skills
- Ability to troubleshoot billing issues and recommend effective solutions
- Ability to work collaboratively with team members across the organization
- Dependable and able to consistently meet deadlines
- Proficient in Microsoft Office
- Ability to follow established policies and procedures
Benefits- Paid Time Off
- Healthcare Benefits (Medical, Dental, and Vision)
- Employee Assistance Program
- Cell Phone Reimbursement
- Life Insurance
- Disability Insurance
- Flexible Schedule
- Weekly Pay
- 401(k)
- Voluntary Accident & Critical Illness Insurance
About UsVIVA Pediatrics is a nurse-owned and operated provider of pediatric home health and medical day care services, committed to delivering high-quality care to children and their families. We put our HEART (Honest, Excellence, Adaptable, Relationships, and Teamwork) in everything we do. Join VIVA Pediatrics and become part of a team dedicated to supporting the operations behind exceptional pediatric healthcare. Your attention to detail and commitment to resolving billing issues helps ensure that our patients and families receive the continued care and support they need.
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