Clinic Biller

Responsibilities

• Submit claims to appropriate intermediaries and ensure procedures and charges are coded in compliance with all payers including Medi-Cal and/or Medicare regulations.
• Obtain required authorizations necessary for the processing and payment of claims.
• Follow up and manage denials as necessary for final resolution.
• Identify various types of diagnosis and procedures codes (ICD9, CPT, HCPCS, DRG) as they relate to reimbursement.
• Communicate clearly and efficiently by phone and in person with clients and staff members.
• Maintain productivity standards and report progress.
• Obtain updated demographic information and all necessary information needed to comply with the various Government Programs billing requirements.
• Operate computer to input follow up notes and retrieve collection and patient information.
• Maintain proficiency in Medical Terminology.

Qualifications

• Previous Billing Experience within a hospital Business Office Required.
• Previous experience with government programs and collections preferred.
• Knowledge of medical terminology.
• Effective written and verbal communication skills.
• Ability to multi-task, prioritize needs to meet required timelines.
• Analytical and problem-solving skills.
• Customer Services experience required.
• High School Graduate or GED Equivalent Required (effective 4/1/14 for all new hires).

Benefits

• Health, dental, and vision insurance options.
• Paid vacation, sick time and holidays.
• Bereavement leave, FMLA and other leave options.
• Employer 401K options.
• Tuition reimbursement options.
• Life, disability, and other insurance options.
• Many other amazing benefits.

About the Role

Affiliated with Knapp Medical Center, Knapp Medical Group is actively seeking new members to join its award-winning team!

Schedule

Full-Time | Days | 8 - Hour Shifts | 8:00am - 5:00pm