The medical biller position responsibilities are to submit accurate and timely claim billing and reports based on health plan, payor, or contract requirements. This also involves accounts receivable payment follow-up, appeals, and refunds if necessary.
Essential Functions: - Complete health plan billings based on requirements.
- Compile proper paperwork and conduct appropriate research to appeal claim denials, including requests for refunds/credits when applicable.
- Review and monitor reimbursements due from different payors to determine appropriate collection methods.
- Communicate effectively and professionally with external customers.
- Resolve payment issues with carriers, (e.g. denials, partial payments, etc.)
- Review, modify, and re-bill rejected/denied claims.
- Assist Cash department on payor backup as needed for payments received.
- Adhere to and comply with information systems security. Know and follow Information Systems security policies and procedures. Attend Information Systems security training, when offered, and report information system security problems.
- Adhere to all company policies and procedures.
- Work overtime if assigned by Management.
- Perform other duties as assigned.
- Be flexible with shifting daily priorities.
- Meet deadlines, working within tight time constraints.
- Handle a large volume of work.
- Meet or exceed established standards for productivity and quality.
Employment Benefits: - PAID WEEKLY!!!
- Paid Time Off and Sick Pay
- Medical, Dental, Vision
- 401 (k) Plan
- Advancement Opportunities
- New Equipment and State of the Art Technology
- Team and Family Atmosphere
- Southern California's Best EMS Work Environment
High School Diploma or general education degree (GED) required.
Ambulance billing experience or equivalent combination of education and experience required.
- Flexible, high achiever with ability to learn quickly and meet department goals and deadlines consecutively.
- Strong attention to detail.
- Organized, detail oriented with excellent follow through abilities.
- Communicate effectively, both orally and written.
- Good computer skills.
- Strong alphanumeric data entry skills with a minimum of 35 WPM with a 90% accuracy rate.
- HIPPA Requirements.
- Work in a spirit of teamwork and cooperation.
- Convey a sense of competence and commitment.
- Use initiative to learn new skills, enhance personal knowledge and improve communications.
- Demonstrate ability to work well with team members.
- Demonstrate flexibility with shifting daily priorities.