Medical Biller

Description

Seeking Full-time

• Full-time, 30-40 hours/week, Monday-Friday, 8:00am - 4:30pm

Benefited position after a 60-day waiting period.

JOB SUMMARY:

The Medical Biller position will focus on the processing of hospital claims for timely and accurate reimbursement. Strong attention to detail is needed as well as knowledge of medical coding to help minimize denials. The ability to work independently and as part of a team is important.

PRIMARY RESPONSIBILITIES AND DUTIES:

• Submitting Medicare claims and following up for payment fulfillment
• File secondary and supplement claims, as necessary, following Medicare payments.
• Complete billing tasks daily; ensure minimal write-off of reimbursement dollars
• Monitor and maintain assigned accounts
• Research, correct, and resubmit rejected, denied, and returned claims timely
• Prepares appeals/reconsiderations to denied claims.
• Answer questions timely and accurately according to assigned work hours
• Resolve billing issues and assess accounts receivable delinquencies to assigned accounts
• Interpret explanation of benefits for assigned accounts
• Mark outbound calls and inbound calls on accounts and update notes on calls and account activity, as needed.
• Maintain professionalism and customer service
• Provide timely follow-up
• Review and submit account adjustments, balance write-offs, and account reconciliations
• Respects and maintain confidentiality of customer and hospital information
• Continuing Education/Maintains Current Knowledge of:
• Continuing Education is required to maintain knowledge of changes in CMS and related areas of billing, reimbursement, and compliance.
• Attends meetings and workshops as required

Requirements

EDUCATION/LICENSURE/CERTIFICATION:

• High school diploma or equivalent required.
• College degree preferred but not required.

EXPERIENCE:

• Medical Terminology needed for billing purposes.
• Continuing Education is required to maintain knowledge of changes in CMS and related areas of billing, reimbursement, and compliance.
• Knowledge of the following: ICD-10, CPT Codes, HCPCS Codes
• Medicare billing rules include information on CMS manuals, LCDs, NCDs, CCI edits, etc.
• Ability to learn and utilize efficiently various hospital computer systems and/or programs.
• Strong customer service skills are required.
• Experience in insurance billing with an emphasis on Rural Health Clinic desired
• Knowledge of hospital information system desired
• Experience working with healthcare payers desired.
• Experience with electronic health records
• Knowledge of Cerner and SSI clearinghouse helpful.

ESSENTIAL TECHNICAL MOTOR SKILLS:

• Ability to operate computer systems, talk in person on the telephone, hear in person and on the telephone, vision for close work, use of photocopier, fax machine, computer.

INTERPERSONAL SKILLS:

• Ability to interact appropriately and professionally with patients, clinic staff, physicians, hospital staff, and the general public.