Medical Biller

ANN STORCK CENTER INC•Broadview Park, FL

1d•$21 - $21•Onsite

About The Position

The Hi-Ability Medical Biller is expected to showcase an understanding of various medical insurance carriers including but not limited to Medicaid and Medicare. This Medical Biller shall be skilled in carrying out successful follow-up efforts in processing denied claims, and will exhibit knowledge of medical terminologies, software, and reports as indicators for potential improvement areas. The Medical Biller will pose excellent customer service skills as you will have face to face contact as well as phone contact with parents, and insurance providers.

Requirements

High School Diploma
Knowledge of Business and accounting processes
Minimum of 1-3 years Billing in a Medical Office setting required
Excellent communication and interpersonal skills
Excellent organizational and Time Management skills
Technologically adept (Microsoft Office and related products)
Knowledge of Insurance, HMO/ PPO, Medicare, Medicaid and other payer requirements and systems
Knowledge of CPT and ICD-10 coding
Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA)

Nice To Haves

Experience billing Medicaid a plus
Experience in Central Reach a plus

Responsibilities

Answer incoming calls
Greet incoming onsite patient and caregivers
Send out new patient registration information to prospective patients
Coordinates with Director of Therapy and Therapists Schedule
Obtaining referrals and pre-authorizations as required
Check eligibility and benefits
Prepare, review and transmitting of claims using billing software
Following up on unpaid claims within standard billing cycle timeframe
Checking each insurance payment for accuracy and compliance with contract discount
Calling insurance company regarding any discrepancy in payments if necessary
Identifying and billing secondary or tertiary insurance
Researching and appealing denied claims
Answering all Patient or insurance telephone inquiries pertaining to assigned accounts
Setting up patient payment plans and work collection accounts
Updating billing software with rate changes (with Director of Therapy)
Weekly claims reports & status reports; ensures accurate documentation is completed in a timely manner.
Participates in all Department meetings.
Assist OT/PT/ SLP/ and Behavior with questions regarding billing and scheduling
Maintains open communications with Director of Therapy with any concerns, problems, ideas, changes, etc.
Maintains flexibility in schedule to cover meetings, trainings, etc.