Medical Biller- Mon-Friday 8-5pm $25-$26 2 Openings Mon-Fri 8-5pm
(Physician billing experience and be a certified professional coder a big plus)
Required Skills:
Physician Billing
- Must be CPC certified. Experience with Urology and Interventional Radiology is a plus.
- Ability to manage high levels of billing and claims activity with accuracy
- Must be able to work quietly and independently
- Ability to analyze Billing and AR related information
- Excellent Computer Skills
- Ability to identify documentation deficiencies and properly query providers for proper code Knowledge on code use for; CPT, HCPCS Level II, and ICD-10-CM diagnosis and procedures.
- Knowledge of medical billing/coding guidelines and regulation including compliance and reimbursement
- Understanding how to integrate medical coding and payment policy changes into a practice’s
reimbursement processes.
- Financial Skills related to medical billing with attention to detail; understanding how to review an EOP
- Comfortable with the Overall Practice Environment
- Ability to Work as a Team with Co-workers
- Constant Consumer Service Focus for both Internal and External Customers
- Excellent Decision-Making Skills and Professionalism at all Times
- Managing all Processes Assigned and Efficiently
- Responsible for the Quality of Personal Deliverables Produced/ Results Driven
Major Duties and Responsibilities:
- Communicate regularly and as necessary with staff members in the Divisional patient care locations.
- Directly involved with automated claims submission and billing, collections, insurance verification, prior authorizations and/or referrals, hospital billing, claims follow-up, claims
appeal, patient balance collections, end of period reporting, insurance credentialing, contracting, and special projects as required.
- May interact with physicians to obtain missing information or verify information accuracy within electronic medical records.
- Interact with patients/customers to communicate with them concerning non-covered services, patient collections and payment of self-pay accounts.
- Supports patients and physician practice activities by providing billing and collection, data entry and processing, cash posting, general financial services, medical records review, utilization review, and guest relations.
- Produce billing of electronic and hard copy claims, government payer compliance, and follow-up
- Coordinate payment posting, collections and associated tasks, policies, and procedures for the billing department.
- Interact with insurance plans to review/discuss/resolve denied or incorrectly processed claims to resolve and ensure payment.
- Follows policies, procedures, and systems related to billing and compliance. Understand and comply with processes for medical necessity, late charge and denials.
- Ensure that quality services are always provided.
Required Experience:
- HS diploma and/or college degree/certification or equivalent business experience
- Certified Professional Coder
- 3+ years of medical billing experience in a large medical practice
- Proven track record of effective verbal and written communication skills
- Knowledge of accounting principles and management of accounts receivable
- Excellent computer skills