Jobs · Healthcare · Michigan

Medical Biller

Yeo & Yeo CPAs & Advisors · Saginaw, MI · 1 wk ago
HealthcareFull-time

About Us

Yeo & Yeo Medical Billing & Consulting was established in 1998 as an affiliate of Yeo & Yeo to provide clients with medical billing and additional practice management solutions. We help clients maximize their reimbursement and assist in educating them on the ever-changing rules and guidelines of Medicare, other insurance carriers, and CPT, HCPCS, and ICD-10 coding. Our highly trained staff includes Certified Professional Coders and billing specialists with experience in all areas of physician billing, receiving ongoing training specific to medical specialties and insurance carrier trends.

We invest in our people, offering career development, advocacy experiences, career ladder choices, and support in advancing to leadership positions while integrating personal and professional life.

Responsibilities

  • Review patient bills for accuracy and completeness and obtain any missing information.
  • Prepare, review, and transmit claims using billing software, including electronic and paper claim processing.
  • Understand insurance guidelines, including HMO/PPO, Medicare, and state Medicaid.
  • Follow up on unpaid claims within standard billing cycle timeframe.
  • Check each insurance payment for accuracy and compliance with contract discounts.
  • Call insurance companies regarding any discrepancy in payments.
  • Identify and bill secondary or tertiary insurances.
  • Review all accounts for insurance or patient follow-up.
  • Research and appeal denied claims.
  • Answer patient or insurance telephone inquiries pertaining to assigned accounts.
  • Set up patient payment plans and work collection accounts.
  • Update billing software with rate changes and maintain cash spreadsheets.
  • Run collection reports.
  • Assist clients in a courteous and expedient manner.
  • Meet and exceed goals set through the annual performance evaluation process.
  • Increase use and knowledge of applicable company technology, paperless systems, tools, and processes.

Requirements

  • Associate’s Degree in Business Administration or equivalent; or a combination of education and work experience that enables performance of all aspects of the position.
  • Certification in Medical Billing and Coding.
  • Knowledge of HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
  • Proficiency with computer systems, software, and 10-key calculator.
  • Ability to code conditions and procedures using ICD-10-CM and CPT.
  • Effective communication abilities for phone contacts with insurance payers to resolve issues.
  • Customer service skills for interacting with patients regarding medical claims and payments, including diverse age groups and backgrounds.
  • Able to work in a team environment.
  • Problem-solving skills to research and resolve discrepancies, denials, appeals, and collections.
  • Knowledge of accounting and bookkeeping procedures.
  • Knowledge of medical terminology likely encountered in medical claims.

Preferred Abilities

  • Communicate effectively in highly visible and/or adversarial situations.
  • Actively pursue learning and development opportunities.
  • Participate in on-the-job and formal learning to understand role and responsibilities.
  • Ability to accept and adjust to changing priorities and circumstances.

Leadership

  • Reports to direct supervisor.
  • Take charge and be action-oriented, persisting until tasks are completed.
  • Learn and understand how the position contributes to organizational success and be accountable for own actions.

Technology

  • Experience with Microsoft Office.
  • Medical Billing workflow software.
  • Understand and stay current on new technology.

Benefits

  • Competitive salaries.
  • Generous paid time off and paid holidays.
  • Excellent medical, dental, and vision plans.
  • Bonuses and referral programs.
  • Life insurance.
  • 401(k) plan.
  • Community service opportunities.
  • Dress-for-your-day attire.
  • Continuous feedback.
  • Team retreats, office parties, and sports teams.

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