Biller

Med Metrix•Melville, NY

About The Position

Job Purpose The Biller is responsible for WCNF EDI charge capture and claim submission. Duties and Responsibilities Reviews referrals to ensure that all charges for each date of service have been captured Where appropriate, completes charge corrections into billing system based off office documentation Meets and maintains daily productivity and quality standards established in departmental policies Adheres to the policies and procedures established for the client/team Verify and ensure that the patients demographics are properly entered in the host system, correcting errors when necessary and verifying that proper authorizations are entered Perform special projects and other duties as needed Ability to analyze, identify and resolve issues which may be causing payer payment delays Act cooperatively and courteously with patients, visitors, co-workers, management and clients Maintain confidentiality at all times Maintain a professional attitude 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 Qualifications High school diploma or equivalent required Previous experience in Hospital/Facility or Physician billing: preferred Experience with EPIC preferred Basic knowledge of healthcare claims submissions and processing including: ICD-10, CPT, and HCPC codes, LCD guidelines, rejections, clearinghouse, as well as 1500 forms 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 Gracious and welcoming personality for customer service interaction Working Conditions Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes. Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear. Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress. Work Environment: The noise level in the work environment is usually minimal. Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.

Requirements

High school diploma or equivalent required
Basic knowledge of healthcare claims submissions and processing including: ICD-10, CPT, and HCPC codes, LCD guidelines, rejections, clearinghouse, as well as 1500 forms
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
Gracious and welcoming personality for customer service interaction
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

Reviews referrals to ensure that all charges for each date of service have been captured
Where appropriate, completes charge corrections into billing system based off office documentation
Meets and maintains daily productivity and quality standards established in departmental policies
Adheres to the policies and procedures established for the client/team
Verify and ensure that the patients demographics are properly entered in the host system, correcting errors when necessary and verifying that proper authorizations are entered
Perform special projects and other duties as needed
Ability to analyze, identify and resolve issues which may be causing payer payment delays
Act cooperatively and courteously with patients, visitors, co-workers, management and clients
Maintain confidentiality at all times
Maintain a professional attitude
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