Position Type: Direct Hire
Pay Range: $18-23
Schedule: M-F, 8am-5pm
Location: Saginaw, MI
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
- 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 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
- Ability to accept and adjust to changing priorities and circumstances
Leadership
- Reports to direct supervisor
- Take charge and be action-oriented and persist until the task or job is completed
- 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