Biller

Med-Metrix•Melville, NY

1d•Onsite

About The Position

The Biller is responsible for WCNF EDI charge capture and claim submission. This role involves reviewing referrals to ensure all charges for each date of service have been captured, completing charge corrections into the billing system based on office documentation, and meeting daily productivity and quality standards. The Biller must adhere to client/team policies and procedures, verify and correct patient demographics and authorizations in the host system, and analyze/resolve issues causing payer payment delays. Maintaining confidentiality and a professional attitude is crucial, along with complying with HIPAA and Information Security policies. The position requires limiting access to Protected Health Information (PHI) to the minimum necessary.

Requirements

High school diploma or equivalent required
Basic knowledge of healthcare claims submissions and processing including
Knowledge of various types of insurance plans, CPT, ICD-10, billing guidelines
Proficiency in Microsoft Office Suite
Strong interpersonal skills, ability to communicate well at all levels of the organization
Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
High level of integrity and dependability with a strong sense of urgency and results oriented
Excellent written and verbal communication skills required
Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes

Nice To Haves

Previous experience in Hospital/Facility or Physician billing: preferred
Experience with EPIC preferred

Responsibilities

Review referrals to ensure that all charges for each date of service have been captured
Complete charge corrections into billing system based off office documentation
Meet and maintain daily productivity and quality standards established in departmental policies
Adhere to the policies and procedures established for the client/team
Verify and ensure that patient demographics are properly entered in the host system, correcting errors when necessary and verifying that proper authorizations are entered
Analyze, identify and resolve issues which may be causing payer payment delays
Maintain confidentiality and a professional attitude at all times
Other duties as assigned
Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
Understand and comply with Information Security and HIPAA policies and procedures at all times
Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties