Back-End Medical Biller
Full-Time, Temp to Hire Opportunity - Onsite
Hours: 8 am to 4:30 pm M-F (30-minute lunch)
$16-$17 per hour DOE
Professional Summary
This position is responsible for billing patient services covered by Medicaid, Medicare, and other third-party payers. This position functions as a liaison between patients, third party payers, physicians, clinics, and HCHN staff regarding billing. Works under the direction of the Director of Revenue Cycle Management or designee who assigns diverse billing duties and responsibilities
General Responsibilities
Able to perform accounts receivable collection activities timely and accurately including prioritizing subtasks
Utilize monthly aging accounts receivable reports to follow up on unpaid claims aged over 30 days
Accurately post all insurance payments by line item
Communicates practice management system issues with the Billing Supervisor to ensure claims are processed accurately and timely*
Collects outstanding claims from third party payers according to department benchmarks
Works on special billing projects as assigned by the Billing Supervisor in conjunction with other billing responsibilities
Contacts appropriate departments and eligibility systems to obtain necessary information for billing purposes
Responds efficiently and accurately to denials received. Ensure necessary information is obtained and resubmitted as quickly as possible
Documents the practice management system to reflect current billing status of each patient account to ensure audit trail of all account activity
Accurately documents reasons for denials that cannot be re-billed and communicates such information to Billing Supervisor for follow-up
Processes patient, payer, and employee interactions within the guidelines set for the department
Respond professionally and timely to patient calls and third-party payer calls.
Meets all attendance and punctuality requirements to ensure proper coverage and quality service
Professional and appropriate dress as required by the position
Demonstrates an ability to resolve interpersonal and professional conflicts appropriately
Ability to formulate decisions and make judgments that are demanding and interpretative
Keeps all matters related to the organization confidential in compliance with confidentiality policy
Performs other duties as assigned related to revenue cycle management
Education and/or Experience Required
High school diploma
Minimum of 2 years' experience working Accounts Receivables
Must know medical terminology
Must have knowledge of outpatient billing procedure for third party payers, medical terminology, CPT coding, ICD9 coding, and completing UB92 and HCFA claim forms
Computer experience is essential, including, but not limited to: practice management software, word processing and spreadsheet applications
Experience in filing claim appeals with insurance companies to ensure maximum entitled reimbursement
Qualifications
Ability to maintain confidentiality in all matters
Ability to resolve interpersonal and professional conflicts
Ability to formulate decisions and make judgments
Proficient in Medical terminology
Ability to type 30 wpm and use 10-key adding machine
Ability to provide excellent customer service