Medical Billing Clerk

About the role

Enhance your career under the guidance of helpful, supportive leadership. Always have the tools you need to be successful. Apply now for the Medical Billing Clerk position at Physical Rehabilitation Network!

Responsibilities

• Ensures all claims are submitted with a goal of zero errors.
• Verifies completeness and accuracy of all claims prior to submission.
• Regularly meets with Data Integrity Manager to discuss and resolve billing obstacles.
• Attends monthly staff meetings and continuing education educational sessions as requested.
• Checks to ensure ICD codes match billing records.
• Bills secondary claims with primary EOB attachment.
• Sends out paper claims with all appropriate attachments (authorizations, Medical Records, Fee tickets, etc.).
• Obtains medical records via Therapy Source and Power Flow for claims attachments.
• Performs data entry corrections when claim errors are identified.
• Audits all paper claims for appropriate billing.
• Dependability is essential: Must work consistently and on time while following instructions, responding to management direction, and soliciting feedback to improve performance.
• Identifies and corrects billing errors and resubmits claims.
• Adheres to HIPAA guidelines and Federal Privacy Law.
• Provides feedback to management regarding possible problems and areas of improvement.
• Responsible for all daily productivity reporting requirements.
• Maintains and exceeds department standards for productivity and quality.
• Ensures compliance with state and federal laws and regulations for Commercial, Medicare, Medicaid, Managed Care, and other payers.
• Functions effectively within a team and participates and contributes constructively to produce results in a cooperative effort.

Requirements

• High School Diploma or equivalent certification.
• Prior Physical/Occupational Therapy claims knowledge is preferred.
• Ability to work independently with minimal supervision as well as ability to work in a team environment.
• Skilled at managing multiple projects and grasping new concepts.
• Knowledge of healthcare industry with emphasis on Medical billing.
• Medicare, Medicaid, Commercial, and Workman’s Comp Insurance Knowledge.
• Computer skills and experience with Microsoft Applications.
• Accurately complete assignments while meeting deadlines.
• Excellent organization skills.
• Excellent internal and external customer service skills.
• Must possess good oral and written communication skills and recognize importance of teamwork.
• Proficiency in Microsoft Office with Excel skills.
• Working knowledge of the NextGen System.
• Knowledge of CPT, ICD-9/ICD-10 codes.
• Knowledge of medical terminology.

Qualifications

• High School Diploma or equivalent certification.

Skills

• Microsoft Office (Excel).
• NextGen System.
• CPT, ICD-9/ICD-10 codes.
• Medical terminology.

Benefits

• Health insurance.
• Paid time off.
• Dental insurance.
• 401(k).
• Vision insurance.
• Life insurance.
• Disability insurance.
• Employee discount.
• Flexible schedule.
• Flexible spending account.
• Employee assistance program.
• Health savings account.
• Other benefits.

Pay

$17.50-$18.50/hour - Full-time

Schedule

M-Thr 4,10-hour days, with every Friday off.