Pre-Biller (Medical Billing)
Exagen Inc.
- Carlsbad, CA
- $22.00-27.00 per hour
- Permanent
- Full-time
- Prepares and submits clean claims to various insurance companies in a timely manner.
- Responsible for all pre-bill edits and claim/payer rejections to ensure accuracy and compliance with all government and commercial carriers billing guidelines before releasing for submission to payers.
- Responsible to bill all services within a timely filing as defined by departmental goals and insurance guidelines.
- Verify insurance eligibility, benefits, and coverage.
- Obtain prior authorizations for procedures as required by insurance carriers.
- Accurately enter patient demographics, insurance information, and authorization details into the billing system.
- Collaborate with internal teams to obtain necessary documentation and information for billing purposes.
- Follows up on any deficiencies that haven’t been resolved, including making outbound phone calls.
- Maintain accurate and organized billing records and documentation
- Other duties as assigned
- Minimum of 2 years’ experience, preferably in a laboratory billing environment
- Strong understanding of insurance billing, including Medicare, Medicaid and commercial insurance plans
- Able to identify payer and claim rejection trends and provide solutions for process improvements and enhancements to improve clean claim rates
- Excellent analytical skills
- Working knowledge of appropriate coding systems; CPT, ICD-10 and HCPCS, coverage; LCD/NCD and reimbursement associated with such codes
- Effective problem-solving skills in a fast paced and rapidly changing environment
- Excellent verbal and written communication skills
- Must be proficient in Microsoft Excel
- Quadax or Exemplar experience strongly desired