Billing Associate- In Office (Elkin, NC)

Prism Medical Products • Elkin, NC

101d

About The Position

At Prism Medical Products, we're not just offering jobs-we're building careers! As part of our dynamic team, you'll be empowered to make a meaningful impact every day. Whether you're on the frontlines of patient care, operations, or support services, you'll play a vital role in delivering the innovative and patient-centered solutions that define Prism CARE Solutions. We're searching for motivated individuals to elevate our expertise, support our mission, and help deliver outstanding results. Join us to thrive in a fast-paced, collaborative environment that values growth, compliance, and delivering an exceptional client experience. If you're ready for a fulfilling, long-term career that makes a real difference, we'd love to hear from you! Prism CARES for Our Employees! We don't just say it-we show it. Prism CARES represents our commitment to combining access, resources, and expertise to support our employees while they support our patients and providers.

Requirements

• High School Diploma or equivalent required, Associates or Bachelor's degree preferred
• General knowledge of medical business organization and operations.
• Comprehension of the basic functions of computer navigation and how to research information.
• Strong relationship building skills via phone.
• Effective verbal and written communication.
• Work requires continual attention to detail in composing, typing and proofing materials, establishing priorities and meeting deadlines.
• Must be able to work in a fast-paced environment with demonstrated ability to juggle multiple competing tasks and demands.
• Must be able to professionally interact and communicate with individuals at all levels of the organization.
• Self-motivated/self-starter and results driven.

Responsibilities

• Posts payments to claims in multiple formats (ERA, Paper checks, CC, etc.)
• Engages in a full understanding of reports and special processes to include the Insurance Paid Patient, Duplicate Report, and Modifier Report to effectively reduce claim errors.
• Reviews patient accounts for proper verification of credit balances and completes refund requests to Accounting for patient account resolution.
• Processes all incoming and outgoing mail daily including sorting and distribution of mail to other departments.
• Meets daily deadlines to complete address corrections as identified from our mail sources through Change Healthcare and the USPS.
• Meets all necessary training requirements and established daily quotas for Medicare and Medicaid Pre Bill-Audits and rejections resolution.
• Proficiently utilizes all insurance resources to ensure an accurate understanding of all verification of eligibility reports either online or through Prism's DME Eligibility Report.
• Interprets and understands Remittance Advices to include allowable amount, patient responsibility, denial codes, and remark codes to effectively resolve entry level denials, research outstanding primary insurance accounts receivable balances, and communicate concerns to supervisor.
• Maintains accurate records concerning billing activity by making clear and concise notes in each patient account.
• Scans and designates images as needed into the appropriate Document Imaging category in Noble.
• Provides excellent phone customer service with patients/clients regarding individual account status and balances due.
• Exemplifies good communication upwardly and to other team members to promote a positive environment and produce good results.
• Enhances organization reputation by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments.
• Adds to company policies and procedures regarding employment, safety, and compliance; resolving any area of non-compliance immediately.
• Reports any concerns of non-compliance in any area to your manager immediately.
• Performs other duties as requested by the Billing Coordinator or other management team member.

Benefits

• Health, Dental, Vision, Life, Disability
• 401K
• Holiday Pay
• Paid Time Off
• Education Assistance Program
• Community Involvement

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Administrative and Support Services
• Education Level: High school or GED