Medical Biller II

Gritman Medical Center•Moscow, ID

7h•Onsite

About The Position

Medical Billers bill all patient accounts to the appropriate insurance company or payor in an efficient, accurate and timely manner according to payor regulations, and, as appropriate, provide assistance in regard to patient bills, customer (patients, families, physician offices, review organizations, insurance companies) in polite and professional manner. The below Essential Functions are subject to change based on the organizational needs and to ensure with the ever-changing environment of healthcare. Key Job Duties and Responsibilities Daily Responsibilities: Consistently demonstrates AIDET Obtains appropriate insurance and demographic information Understands EOBs, billing tickets statuses, and takes appropriate actions accordingly Understands claim Edits for claim processing and takes appropriate action accordingly Enters quality financial notes into the EMR whenever an action is taken related to an account Processes Facility & Professional claims Protects patient rights by maintaining strict confidentiality, respecting HIPPA Answer incoming phone calls from patients and insurance carriers Retrieves and return phone calls Processes primary, secondary, and tertiary insurance Follows up on insurance requests and accounts receivable Verifies eligibility websites and benefits Reviews Authorization and Denials Submits coding requests to coding Communicates with coding department for clarification when needed Proficient in utilizing insurance websites Follows up on ageing accounts with insurance companies for payment Maintains accurate and complete patient accounts Voiding/Cloning of tickets when appropriate Cross trained to other insurances in order to fill in for coverage Creates refunds to the appropriate party Completes appeal to insurance companies. Insurance follow up reports and electronic queues Other duties as assigned

Requirements

Proficiency in Microsoft Excel, email composition, business correspondence, and general office skills is required.
Knowledge of basic office functions, including message-taking, cash drawer balancing, and data entry.
Strong attention to detail, ability to follow directions, and excellent customer service skills in an office environment.
Experience in an office setting and / or medical billing experience.
Exceptional customer service, written and verbal communication skills.
Positive attitude and commitment to the organization’s values and behavioral standards.
Ability to work collaboratively, exceed expectations, and maintain a professional demeanor.
Strong problem-solving and critical thinking skills.
Proficiency with computer systems and multi-line phone systems.
Adaptability to changing workflows and situations.

Nice To Haves

Education or experience in medical office work, referrals, or billing strongly preferred.

Responsibilities

Obtains appropriate insurance and demographic information
Understands EOBs, billing tickets statuses, and takes appropriate actions accordingly
Understands claim Edits for claim processing and takes appropriate action accordingly
Enters quality financial notes into the EMR whenever an action is taken related to an account
Processes Facility & Professional claims
Protects patient rights by maintaining strict confidentiality, respecting HIPPA
Answer incoming phone calls from patients and insurance carriers
Retrieves and return phone calls
Processes primary, secondary, and tertiary insurance
Follows up on insurance requests and accounts receivable
Verifies eligibility websites and benefits
Reviews Authorization and Denials
Submits coding requests to coding
Communicates with coding department for clarification when needed
Proficient in utilizing insurance websites
Follows up on ageing accounts with insurance companies for payment
Maintains accurate and complete patient accounts
Voiding/Cloning of tickets when appropriate
Cross trained to other insurances in order to fill in for coverage
Creates refunds to the appropriate party
Completes appeal to insurance companies
Insurance follow up reports and electronic queues
Other duties as assigned