Biller- job post
Experience & Skills
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ICD-9
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Medical billing
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CPT coding
Job details
Qualifications
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ICD-10: 1 year (Preferred)
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Medical billing: 5 years (Preferred)
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Full Job Description
JOB SUMMARY
Under the supervision of the Clinical Director and Billing Manager, the medical biller is responsible for accurately inputting incoming referrals into the computer system and prepare for further processing
QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
Knowledge of :
- ICD-9/ ICD-10, HCPCS and CPT coding
- Federal and state healthcare mandates and regulations
- Company policies and procedures
- Microsoft office applications and spreadsheets
- General front office procedures and skills
- Office machines; facsimile, copier, scanner, computer programs
- Electronic Medical Records/EHR systems
Ability to:
Problem-solve
Prioritize with excellent organizational skills, responding to multiple demands and timeliness
Demonstrate professional written and verbal communication skills and presentation skills using the English language
Demonstrate ability to respond to common inquiries from patients, customers, vendors, regulatory agencies, health plans or member of the business community and possess excellent customer service skills
Twist, turn and utilize reaching motion, ability to sit and/or stand for extended periods of time
EDUCATION and/or EXPERIENCE
High school diploma and one (1) year related experience and/or training; or equivalent combination of education and experience.
No less than 5 years of medical billing
CERTIFICATES, LICENSES, REGISTRATIONS
None.
SKILLS
Able to work independently. Has knowledge of industry standards and expectations. Has knowledge of commonly used concepts, practices and procedures within this field. Excellent verbal and written skills. Computer literate with knowledge of Excel/Word. Relies on experience and judgment to plan and accomplish goals. Performs a variety of tasks. Able to verify a variety of standard and/or complex patient data. Knowledge of medical terminology preferred. Excellent telephone skills
Able to verify a variety of standard and/or complex coded or un-coded statistical source data. Knowledge of medical terminology and ICD9/ICD-10 codes. Able to type 40+ words per minute.
Bill new claims and confirm proper submission of claims while maintaining claim filing reports and filing procedures
Ensure denied claims are evaluated, analyzed, appealed, and resubmitted with sufficient support to receive the maximum allowable payment amount
Review insurance payments to ensure proper reimbursements according to contracted rates
Accurately post payments and allocate balances owed
Ensure applicable out of pocket maximums, deductibles and/or co-pays are properly applied to patient accounts
Bill secondary insurance payors
- Entering patient demographics and insurance information
- Verifying patient eligibility and benefits for upfront collection on unmet deductibles and co-insurance
- Enter charges accurately according to insurance payors/contracts
- Submitting clean claims by attaching necessary documentation for payment
- Follow-up on electronic claims and paper claims
- Posting insurance payments to patient accounts
- Submit all secondary claims when necessary
- Refund money owed to patient or insurances
- Conducts self in a manner that reflects a positive representation of the company, and encourages others to do the same.
- Observes strict patient confidentiality in dealing with patients.
- All other duties as assigned
As an Equal opportunity employer, DBA Choice Medical Group is committed to a diverse workforce. Employment decisions regarding recruitment and selection will be made without discrimination based on race, color, religion, national origin gender, age sexual orientation, physical or mental disability, genetic information or characteristic, gender identity, and expression, veteran status, or other non-job related characteristics or other prohibited grounds specified in applicable federal, state and local laws. In order to ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Era Veterans’ Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact this post for assistance.
For more information about equal employment opportunity protections, please view the ‘EEO is the Law’ poster.
NOTICE: EMPLOYEE POLYGRAPH PROTECTION ACT
YOUR RIGHTS UNDER THE FAMILY AND MEDICAL LEAVE ACT
PAY TRANSPARENCY NONDISCRIMINATION PROVISION
Our environment respects individual differences and recognizes each employee as an integral member of our company. Our workforce reflects these values and celebrates the individuals who make up our growing team.
Choice Medical Group provides a work environment free of harassment and prohibited conduct. We promote and support individual differences and diversity of thoughts and opinion.
Job Type: Full-time
Pay: $16.00 - $21.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Disability insurance
- Employee assistance program
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
Experience:
- ICD-10: 1 year (Preferred)
- Medical billing: 5 years (Preferred)
Work Location: One location