Clinic Biller

Knapp Medical Group•Weslaco, TX

About The Position

At Knapp Medical Group, our dedicated team of professionals is committed to our core values of quality, compassion, and community. Affiliated with Knapp Medical Center, Knapp Medical Group is actively seeking new members to join its award-winning team! The Biller is responsible for submitting claims to the appropriate intermediaries and to insure that procedures and charges are coded in compliance with all payers including Medi-Cal and/or Medicare regulations. Responsible for obtaining required authorizations necessary for the processing and payment of claims. The Biller is responsible for the follow-up and denial management as necessary for final resolution. Responsible to identify the various types of diagnosis and procedures codes (ICD9, CPT, HCPCS, DRG) as they relate to reimbursement. Communicates clearly and efficiently by phone and in person with clients and staff members. Maintains productivity standards and reports. Obtains updated demographic information and all necessary information needed to comply with the various Government Programs billing requirements. Operates computer to input follow up notes and retrieve collection and patient information. Maintains proficiency in Medical Terminology

Requirements

Previous Billing Experience within a hospital Business Office Required.
Knowledge of medical terminology
Effective written and verbal communication skills
Ability to multi-task, prioritize needs to meet required timelines
Analytical and problem-solving skills
Customer Services experience required
High School Graduate or GED Equivalent Required (effective 4/1/14 for all new hires)

Nice To Haves

Previous experience with government programs and collections preferred.

Responsibilities

Submitting claims to the appropriate intermediaries
Insuring that procedures and charges are coded in compliance with all payers including Medi-Cal and/or Medicare regulations
Obtaining required authorizations necessary for the processing and payment of claims
Follow-up and denial management as necessary for final resolution
Identifying the various types of diagnosis and procedures codes (ICD9, CPT, HCPCS, DRG) as they relate to reimbursement
Communicating clearly and efficiently by phone and in person with clients and staff members
Maintaining productivity standards and reports
Obtaining updated demographic information and all necessary information needed to comply with the various Government Programs billing requirements
Operating computer to input follow up notes and retrieve collection and patient information
Maintaining proficiency in Medical Terminology