Pediatric Medical Biller
Newark, Delaware

Just Kids Pediatrics located in Newark, Delaware is currently looking to hire a full time medical biller to join our team! This person will be responsible for all medical billing for our practice. This position is located onsite in our pediatric office.

Primary Job Responsibilities:

• Prepare, review, and transmit claims using billing software, including electronic and paper claim processing within timely filing limits.
• Analyze records to code all appropriate International Classification of Disease (ICD 10) and/or Current Procedural Terminology (CPT) coding for billing of insurance carriers.
• Maintain comprehensive knowledge of insurance filing and relationship to ICD 10 and CPT coding conventions.
• Review medical record documentation to identify all services provided by physicians.
• Post both insurance and patient payments verifying accuracy of transactions and balancing of all monies.

• Research charge processing and coding issues; review classification situations to determine the most appropriate codes.
• Enter/Correct patient demographics.
• Work accounts in a timely and accurate manner, performing quality assurance for charges.
• Follow up on unpaid claims within standard billing cycle timeframe
• Check each insurance payment for accuracy and compliance with contract discount
• Call insurance companies regarding any discrepancy in payments if necessary
• Identify and bill secondary or tertiary insurances
• Research and appeal denied claims.
• Review patient bills for accuracy and completeness and obtain any missing information
• Answer all patient or insurance telephone inquiries pertaining to assigned accounts
• Set up patient payment plans and work collection accounts
• Other duties as assigned

​Knowledge, Skills, and Abilities

• Knowledge of insurance guidelines, including Commercial HMO/PPO and Medicaid
• Use of computer systems and software
• Effective communication abilities for phone contacts with insurance payers to resolve issues
• Customer service skills for interacting with patients regarding medical claims and payments
• Able to work in a team environment
• Problem-solving skills to research and resolve discrepancies, denials, appeals and collections

Education and Experience Required

• High School diploma required
• Minimum of two to five years in a medical office setting
• Pediatric experience preferred
• Strong verbal and written communication skills
• Medical billing/coding certification preferred