About Movn Health
Movn Health, is a leading telehealth provider of cardiovascular prevention programs. Our programs combines evidence-based guidelines, behavior science, remote monitoring and tele-health coaching to engage patients to adopt heart-healthy lifestyles and improve their wellbeing. Our programs were developed in collaboration with Stanford Medicine and is based on 20+ years of research on over 70,000 patients across six randomized clinical trials. Our programs have successfully improved patient outcomes and lowered readmission at marque organizations like CDPHP, Kaiser Permanente, Highmark Health Plan, Allegheny Health Network and the Veteran Affairs. Our mantra is empathy guiding expertise.
Overview: We are seeking a highly experienced Senior Medical Biller with a minimum of 10 years of hands-on experience in medical billing. The Senior Medical Biller will be responsible for independently managing complex billing tasks, resolving billing issues, and optimizing revenue cycle performance. This role requires in-depth knowledge of medical coding, billing regulations, and reimbursement processes.
Responsibilities:
- Review medical documentation, patient records, and encounter forms to accurately assign appropriate medical codes for billing purposes.
- Generate and submit medical claims to insurance companies, government agencies, and other third-party payers in a timely manner.
- Conduct thorough reviews of denied or rejected claims, identify reasons for denials, and initiate appropriate appeals and follow-up actions.
- Monitor accounts receivable aging reports and take proactive steps to address unpaid claims, billing discrepancies, and outstanding balances.
- Collaborate with healthcare providers, coding specialists, and insurance representatives to resolve billing inquiries and disputes.
- Stay updated on changes in healthcare regulations, coding guidelines, and payer policies, and ensure compliance with relevant standards.
- Utilize medical billing software and electronic health record (EHR) systems proficiently to process claims and manage billing-related tasks efficiently.
- Provide guidance and support to junior billing staff, assisting with complex billing issues and offering training as needed.
- Analyze billing data, revenue trends, and reimbursement rates to identify opportunities for revenue optimization and process improvement.
- Maintain accurate documentation of billing activities, correspondence with payers, and resolution of billing-related issues.
Qualifications:
- Minimum of 10 years of experience in medical billing, with a deep understanding of medical coding systems (ICD-10, CPT, HCPCS) and reimbursement methodologies.
- Proficiency in medical billing software and electronic health record (EHR) systems, with advanced skills in claims processing and billing functions.
- Strong knowledge of healthcare compliance regulations, including HIPAA, Medicare, and Medicaid guidelines.
- Excellent analytical and problem-solving skills, with the ability to identify and resolve complex billing issues independently.
- Detail-oriented and highly organized, with the ability to manage multiple priorities and meet deadlines in a fast-paced environment.
- Effective communication and interpersonal skills, with the ability to collaborate with multidisciplinary teams and external stakeholders.
- Certification in medical billing and coding (e.g., Certified Professional Biller (CPB), Certified Professional Coder (CPC)) is preferred.