Medical Biller

Position Summary

The Medical Biller will perform a wide variety of duties in the medical billing office. The candidate will use a system of coding to categorize patients and their ailments for the purpose of billing, record keeping, archiving and cataloging. Medical Billers are also responsible for acting as a communication link between clients and patients. The candidate will possess excellent communication and customer service skills while striving to maintain an efficient and productive office.

Key Objectives

• 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
• Knowledge of 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 discount
• Call insurance companies regarding any discrepancy in payments if necessary
• Identify and bill secondary or tertiary insurances
• All accounts are to be reviewed for insurance or patient follow-up
• Research and appeal denied claims
• Answer all patient or insurance telephone inquiries pertaining to assigned accounts
• Set up patient payment plans and work collection accounts
• Update billing software with rate changes
• Updates cash spreadsheet, runs collection reports
• Ensure clients are assisted in a courteous and expedient manner
• Meet and exceed goals set forth through the annual performance evaluation process
• Growing use and knowledge of applicable company technology, paperless systems, tools and processes

Qualifications

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

Preferred Abilities

• Communicate effectively in highly visible and/or adversarial situations
• Actively pursue learning and development opportunities
• Participate actively in all on-the-job and formal learning and development opportunities to understand role and responsibilities
• Learn and understand how position is critical to the success of the organization and be willing to accept responsibility and be accountable for own actions

Technology Experience

• With Microsoft Office
• Medical Billing workflow software
• Understand and stay current on new technology

Benefits & Perks

• Competitive salaries
• Generous PDO/paid holidays
• Excellent medical, dental and vision plans
• Bonuses
• Referral programs
• Life insurance
• 401(k) plan
• Community service opportunities
• Dress for your day attire
• Continuous feedback
• Team retreats and office (and Zoom) parties
• Yeo & Yeo sports teams