Med-Metrix · 14 hours ago
Biller
Med-Metrix is seeking a Biller who will be responsible for WCNF EDI charge capture and claim submission. The role involves reviewing referrals, ensuring accurate charge capture, and maintaining productivity and quality standards while adhering to established policies and procedures.
Health CareInformation TechnologySoftware
Responsibilities
Reviews referrals to ensure that all charges for each date of service have been captured
Where appropriate, completes charge corrections into billing system based off office documentation
Meets and maintains daily productivity and quality standards established in departmental policies
Adheres to the policies and procedures established for the client/team
Verify and ensure that the patients demographics are properly entered in the host system, correcting errors when necessary and verifying that proper authorizations are entered
Perform special projects and other duties as needed
Ability to analyze, identify and resolve issues which may be causing payer payment delays
Act cooperatively and courteously with patients, visitors, co-workers, management and clients
Maintain confidentiality at all times
Maintain a professional attitude
Other duties as assigned
Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
Understand and comply with Information Security and HIPAA policies and procedures at all times
Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties
Qualification
Required
High school diploma or equivalent required
Basic knowledge of healthcare claims submissions and processing including: ICD-10, CPT, and HCPC codes, LCD guidelines, rejections, clearinghouse, as well as 1500 forms
Knowledge of various types of insurance plans, CPT, ICD-10, billing guidelines
Proficiency in Microsoft Office Suite
Strong interpersonal skills, ability to communicate well at all levels of the organization
Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
High level of integrity and dependability with a strong sense of urgency and results oriented
Excellent written and verbal communication skills required
Gracious and welcoming personality for customer service interaction
Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes
Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear
Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress
Work Environment: The noise level in the work environment is usually minimal
Preferred
Previous experience in Hospital/Facility or Physician billing: preferred
Experience with EPIC preferred
Company
Med-Metrix
Med-Metrix provides Performance Management and Revenue Cycle solutions to the healthcare industry.
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
Kohlberg Kravis RobertsHarvest Partners
2025-08-08Private Equity
2025-06-24Private Equity
2021-09-27Private Equity
Recent News
2025-08-08
2025-08-08
Company data provided by crunchbase