Medical Biller - A-Line Staffing Solutions

Job Title: Medical Biller

Pay: $19 an hr | Bi-weekly

Job Type:

• Onsite in Arlington, TX

Shift Options:

• Shifts available will be Monday - Friday 9:00 am - 5:30 pm

Medical Biller Overview:

• Act as a resource to the facilities in obtaining information completing necessary documentation or following up on outstanding claims.

• Individual with an understanding of Insurance and Medicaid formularies and processes including the prior authorization processes.

• Makes outgoing calls to Facilities, Plans, and Physician’s offices as needed to obtain approvals

• Works with Client Billing Service Offices, Pharmacy Directors, customers and prescription drug plans to effectively communicate and resolve customer issues.

• Performs other tasks as assigned.

• Achieves productivity goals with regard to calls/claims per hour as determined by the Director and Clinical Hub Manager.

• Provide clinical support to members of the RxAllow team regarding prior authorization concerns / submissions.

• Conducts job responsibilities in accordance with the standards set out in the Company’s code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and State Laws, and applicable professional standards.

• Familiar with the claim adjudication process.

• Develop a strong understanding of the insurance verification, adjudication, back-end billing process and become a subject matter expert on the insurance queues and billing workflow.

• Prioritize work to meet daily and competing deadlines.

• Proficiency in Microsoft Office programs.