KMG Clinic Biller

Prime Healthcare•Weslaco, TX

1d•Onsite

About The Position

KMG Clinic Biller is seeking a Medical Biller, sometimes referred to as a Hospital Billing Specialist, Patient Accounts Representative or Insurance Billing Specialist. As our Medical Biller, you will manage patient billing and insurance claims in our Physician Group or Hospital. The Medical Biller will ensure accurate coding, timely reimbursements and clear communication between patients, insurers, and our medical group or hospital departments. Shifts Available: Days Employment Type: Full-Time Hours: 8-hour – 8:00am to 5:00PM Location: Knapp Medical Center - Weslaco, TX

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 and ensuring 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.