Job description

SCOPE: The Medical Biller works directly with patients to ensure full clearance prior to receiving care, through pre-registration, financial clearance, authorization, referral validation, and pre-serviceability estimations and collections. In addition to submitting claims and working with insurers on a day-to-day basis, you will have the opportunity to interact with patients and answer any questions they might have about the finance process. The position reports to the Director of Revenue Cycle.

Job Responsibilities

• Work closely with Director of RCM to reconcile patient accounts to minimize payor adjustments/claims
• Regularly perform claim reviews to maximize rate reimbursement
• Develop and foster relationships with our payor counterparts
• Recommend EHR enhancements to improve revenue cycle operations as needed
• Posting payments both electronically and manually, maintaining accurate medical billing records, and documenting revenue from patient payments and insurance reimbursements.
• Conduct pre-registration functions, validate patient demographic data, identify, and verify medical benefits, accurate plan codes and COB orders.
• Correct and update all necessary data to assure timely and accurate bill submission.
• Maintain accountability for the accuracy of data collected in e-IVF.
• Verify patient insurance information via telephone, online resources, or electronic verification systems and identify authorization/referral requirements.
• Counsels patients regarding insurance benefits by explaining financial responsibilities for services received, payment options, and collections procedures to patients and parties responsible for payment.
• Contact insurance carriers or other sources to obtain prior authorizations; obtains pre-certification and/or authorization prior to services.
• Identify and communicate to the patient all financial responsibilities prior to the start of their service.
• Maintains work operations by following policies and procedures, and reporting compliance issues
• Collect on delinquent accounts, make payment arrangements, track payments and follow up with patients, as necessary.
• Other duties as indicated by management.

Job Type: Full-time

Pay: $26.00 - $30.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift

COVID-19 considerations:
All employees must be fully vaccinated and must show proof of vaccination.

Application Question(s):

• How many Claims submission experience do you have?

Experience:

• Medical billing: 2 years (Preferred)

License/Certification:

• Do you have a certified Professional Coder Certificate (Preferred)

Work Location: One location

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