Medical Biller - FT

Minidoka Memorial Hospital•Rupert, ID

just now

About The Position

Responsible for the timely submission of technical or professional medical claims to insurance companies. The position may be located in physician offices, hospitals, nursing homes, or other healthcare facilities.

Requirements

High school diploma or equivalent
1-3 years of experience in a medical office setting
Ability to communicate effectively in English, both verbally and in writing

Nice To Haves

Associate's degree in Business Administration, Accounting, or Health Care Administration
2 years customer service experience
Bilingual (English & Spanish)

Responsibilities

Verifying authorizations are listed for needed procedures.
Verifying eligibility edits and notify admissions with errors.
Reviewing patient bills for accuracy and completeness while obtaining any missing information.
Preparing, reviewing for accuracy, and transmitting claims using billing software, including electronic and paper claim processing.
Following up on unpaid claims within standard billing cycle timeframe.
Assists with the distribution of mail.
Greet all patients, families and hospital visitors with a positive, cheerful attitude.
Answering telephones, using proper identification, responding appropriately to all hospital departments, physicians, patient families and visitors.
Following up with Medical Records for unresolved Coding and Diagnosis errors.
Run late charge report and correct claims as needed.
Checking each claim payment for accuracy and any denied lines.
Calling insurance companies and follow up on any outstanding issues.
Identifying and billing secondary or tertiary insurances.
Research and appeal any denied claims.
Reviewing accounts for insurance of patient follow-up.
Answering all patient or insurance telephone inquiries pertaining to assigned accounts.
Follow-up with patients / attorneys / workman comp issues to get accounts resolved in a timely manner.
Actively engage in quality improvement activities.
Performs other duties as assigned.