Biller

Description

Scope of Tasks & Responsibilities:

• Handle claims denial follow-up. 
• Perform thorough review of Explanation of Benefit correspondence with      identification of billing error(s)
• Review of patient medical charts to identify proper coding for denied claims.
• Re-bill corrected claims with high degree of proficiency
• Follow-up with third-party payors to ensure compliance with established guidelines      for billing and claim reimbursement
• Provide Front Office support
• Ensure patient accounting system is accurately closed on a timely basis. 
• Perform electronic claim filing and paper claim submission
• Submit invoices to health care systems
• Submit billing corrections as necessary. Corrects charge, adjustment and receipt entry errors
• Post payments from deposit batch sheets and EOPs.
• Post all cash receipts to patient accounts
• Assist Clinic staff with patient accounting and related procedures
• Collaborate with their supervisor to increase revenue and system efficiency
• Communicate all outstanding billing required from Providers on a timely basis. 
• Maintain confidentiality in accordance with RHC policy, HIPAA and any other      applicable regulatory requirements.
• Exemplify the RHC mission through a personal example of excellent service to      patients, visitors and coworkers.
• Attend regularly scheduled staff meetings
• Provide coverage for absent team members.
• Other duties as assigned

Requirements

Required Education, Certification, Experience and Skill:

• Business school training in medical billing preferred or comparable two years’ experience (minimum) as a billing specialist. 
• Have demonstrated knowledge/experience with medical terminology, claims processing, and medical coding.
• Have a thorough understanding of managed care concepts including HMO, MCE and capitation
• Have a solid understanding of Medicaid and Medicare.
• Have a solid understanding of the complete billing cycle.
• Dental billing experience a plus.
• Proficient with MS Office and Practice Management Systems [ECW preferred]. 
• Strong interpersonal and communication skills with an ability to work effectively with a wide range of people, supervisors, co-workers and vendors.
• Exceptional customer service skills
• Bilingual in Spanish a plus.