Biller

Med-Metrix • Melville, NY

9d

About The Position

The Biller is responsible for WCNF EDI charge capture and claim submission.

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

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 1,001-5,000 employees