Billing Associate

Qualifications / Requirements

• 2–3 years of experience in medical billing
• Working knowledge of CPT and ICD-10 coding
• Experience with insurance claims follow-up and collections
• Proficiency in insurance and patient payment posting
• Strong verbal and written communication skills
• Proficient in Microsoft Word, Excel, and Outlook
• High school diploma or equivalent required

Essential Functions

• Resolve non-coding insurance/clearinghouse rejection, including other claims submission errors and rejections in a timely manner
• Enter and update patient information accurately within electronic medical Records (EMR), which includes verifying insurance information and accurately updating patient accounts
• Daily posting of insurance and patient payments
• Reconcile insurance payments to ensure accuracy and completeness
• Insurance follow-up for no response, denials and correspondence
• Answer and resolve incoming customer service calls from patients
• Update patient accounts for Sliding Fee Schedule adjustments
• Review and resolve insurance credit balances, including issuing refunds when appropriate
• Prepare and submit accurate billing to appropriate state Medicaid systems using electronic claim submissions when possible
• Demonstrate excellent customer service and professionalism when interacting with patients, providers, and payers
• Maintain strict adherence to HIPAA and patient privacy rights, accessing only the minimum necessary information to perform job responsibilities
• Ensure compliance with all federal, state, and payer-specific regulations related to billing and privacy
• Perform other duties as assigned

Physical Requirements

• Occasionally lift and/or move up to 25 pounds
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions
• While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; taste or smell