AR Billing Representative

The AR Medical Biller will be flexible and adaptive, anticipating growth within our expanding outpatient practice to include adding multiple sites as well as providers to our billing matrix.  The ability to adapt to a growth mindset and be willing to learn and take accountability is a must for any individual within the walls of CMI and OPR.   Empathic and positive attitude is a required mindset for all employees as it is our duty to connect on a stelar level with one another as co-workers, but even more important is our patience and referring providers.

We practice PATIENT with our peers and all individuals we come in contact with within our scope.

Professional | Accountable | Timely | Intentional | Navigate | Thank You

RESPONSIBILITES

• Continuously monitor, follow up, and assist in the processing of all revenue cycle functions.
• Assist with processing insurance claims including submission, claim correction and resubmission.
• Ensures claims are successfully submitted & received at the payer level.
• Follows-up on unpaid insurance claims and contacts insurance companies to resolve claims issues.
• Works insurance ticklers, monitors timely processing of claims by insurance companies, and ensures proper reimbursement is received for all services and claims.
• Preparation and submission of claim level appeals when claim is not processed or paid correctly.
• Assist patients to resolve insurance claim issues and self-pay balance payment options.

PRIMARY INTERACTIONS

• Internal – Supervisor, co-workers, physicians & patients.
• External – Insurance companies, referring physician offices, patients, and the public.

COMPETENCIES

• Accuracy is critical.
• Attention to detail is vital.
• The ability to multitask is important.
• Professionalism
• Positive attitude
• Team player

MINIMUM REQUIREMENTS

• Knowledge of billing software associated with healthcare offices.
• Knowledge and understanding of the workings of medical offices and hospitals.
• Knowledge of human anatomy and physiology
• Exceptional organizational skills
• Excellent customer service skills, internal and external
• Must be fluent in English (read, write, comprehend, and speak)
• Must comply with all HIPAA and OIG requirements.
• Must be able to pass background check as well as drug and alcohol testing 

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to sit, stand, walk, speak, hear, use hands, handle documents, bend and stoop as needed, and reach with hands and arms. The position requires use of keyboard and computer regularly. Strong vision abilities to perform extensive computer-related work.

Work Experience

Preferably 1 year of experience in medical billing

Location:             1 Location

FLSA Status:       FT Non-Exempt

Schedule:            Minimum Requirements

                               Monday – Friday 8:00 AM – 5:00 PM (This will require flexibility due to patient load)

Basic Benefits (Health & Fringe)

• Health
• Dental
• Vision
• Basic (paid by company) and Voluntary Life and AD&D
• Short- and Long-Term Disability
• Supplemental Insurance
• Paid Time Off (PTO)
• Major Holidays Paid (5-6)
• Retirement
• • Safe Harbor Contribution
  • Profit Sharing Contribution