Certified Medical Biller

Job Summary

A company is looking for a Care Navigator - Certified Biller.

Key Responsibilities

• Receive and vet medical claims from healthcare providers or patients against program-specific business rules
• Ensure adequate supporting documentation is provided and interpret Explanation of Benefits (EOB/CMS1500)
• Provide support for customer requests through various communication channels as needed

Required Qualifications

• High School Diploma or equivalent
• Experience in claim processing is required
• Active Medical Billing Certification or willingness to obtain certification
• Medical Billing experience is required; infusion or hospital billing experience is preferred
• HIPAA trained and customer service experience preferred