Biller

OMNI FAMILY HEALTH•Bakersfield, CA

7h•$22 - $26

About The Position

Under the direction of the Business Office Supervisor, this role is responsible for billing and filing paper claims on both UBs and 1500 forms. The Biller will reference DDE for verification of beneficiary’s name for Medicare claims, identify and communicate reoccurring billing errors to clinics and business office leaders, and recommend solutions or resolutions. This position will also adjust claims as necessary, perform Commercial and Medicare billing and research within timeframe and benchmark expectations set by RCM, and utilize top customer service skills with all customers including clinic staff, patients, government agencies, commercial insurances, Hospitals, physicians and outside vendors.

Requirements

High school diploma or GED
Minimum of one year billing and accounts receivable experience in a physician practice environment.
Proficiency and accuracy with multiple office tools and software.
Accurate data entry skills with the ability to input data into computer systems, compile statistics, and generate reports.
Ability to work under pressure.
Ability to demonstrate effective communication skills with providers and management staff.
Ability to draft and implement collection letters.
Proficient with excel and other Microsoft office products.
Knowledge of payor contracts.

Responsibilities

Review daily clinic charges for accuracy. Verify patient account/type and demographic data is accurate and perform corrections as needed to achieve clean submission. File down corresponding fee ticket images uploaded by clinic from previous day’s charge entry.
Coordinate with office managers and OMNI staff to maintain expected daily submission benchmarks for AR collections, closed claims, clean (first pass rate 90%) and bad debt rates. Update spreadsheet with daily statistics.
Coordinate with accounts receivable staff regarding denial management corrective actions.
Review and escalate credit balances to the next step (refund, apply, etc.). Maintain billing file/records by batch in accordance with the established protocol.
Assist Coordinator of electronic claims in reviewing and correcting DSG rejections. Communicate regularly with Health Center Managers and Health Center Nurses to ensure that all billing slips are completed and submitted timely.
Assist with the training of front office personnel on billing tasks; posting activities, recall accounts and making arrangements on patient accounts.
Various other work-related duties as assigned by supervisor. These duties and responsibilities may be added, deleted, or changed at any time at the discretion of management, formally or informally either verbally or in writing.
HIPAA compliance – Responsible for enforcing compliance with all HIPAA regulations and requirements. Treats all member information confidential.
Compliance – Ensure compliance with all local, state, and federal regulations.
QA/QI – Participate in QA/QI activities and contribute towards the overall performance improvement of the organization.
IT – Required to learn and use the Electronic Health Record and Practice Electronic System and its components as required by the job functions and highlighted in the Policies and Procedures.
All employees will participate in Patient Centered Home Health Model at Omni Family Health.