Biller

Raphael Health Center Inc•Indianapolis, IN

About The Position

This role involves handling claims denial follow-up, reviewing Explanation of Benefits, identifying billing errors, and reviewing patient medical charts for proper coding. The Biller will re-bill corrected claims, follow up with third-party payors, and provide Front Office support. Responsibilities also include ensuring accurate and timely closing of the patient accounting system, performing electronic and paper claim filing, submitting invoices, and correcting billing errors. The position requires posting payments and cash receipts to patient accounts, assisting clinic staff, collaborating with supervisors to increase revenue and efficiency, and communicating outstanding billing requirements from Providers. Maintaining confidentiality in accordance with RHC policy, HIPAA, and other regulatory requirements is essential. The Biller will exemplify the RHC mission through excellent service and attend staff meetings, providing coverage for absent team members as needed. Other duties may be assigned.

Requirements

Business school training in medical billing preferred or comparable two years’ experience (minimum) as a billing specialist.
Demonstrated knowledge/experience with medical terminology, claims processing, and medical coding.
Thorough understanding of managed care concepts including HMO, MCE and capitation.
Solid understanding of Medicaid and Medicare.
Solid understanding of the complete billing cycle.
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.

Nice To Haves

Dental billing experience a plus.
Bilingual in Spanish a plus.

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.