Medical Billing Account Representative

Empire Management Group Inc•Bakersfield, CA

5d•$17 - $21

About The Position

At Empire Management Group, we believe that every employee makes a difference. We look for the highest quality people to work together to deliver the highest quality client service. Postion Summary: We are seeking a highly motivated and detail-oriented Medical Billing Account Representative to join our team. The ideal candidate will have a background in medical billing and coding, as well as excellent communication and organizational skills. This position will be responsible for reviewing, collecting and verifying all information and documentation necessary for timely billing of patient accounts.

Requirements

Demonstrate a positive demeanor
Ability to work independently and as part of a team
Excellent customer service skills
Excellent verbal and written communication
Must demonstrate strong interpersonal skills
Thorough understanding of insurance billing requirements for all federal, state and local agencies and third party submissions
Basic knowledge of medical terminology
Typing, data entry, 10-key, and word processing
Knowledge of ICD-10 and CPT coding.
Experience with facility billing and coding
3-5 years computerized medical billing or related experience
Knowledge of Medicare and Medi-Cal reimbursement processes
Basic knowledge of accounting procedures and computer based accounts receivable systems
Thorough understanding of HCFA 1500 and UB-04 billing required; basic understanding of coding

Nice To Haves

Bilingual in English and Spanish, preferred
Experience in Anesthesia billing, preferred

Responsibilities

Submitting primary, secondary, and tertiary claims to insurance carriers.
Resolving insurance claim denials.
Reviewing and monitoring insurance reimbursement for consistency with contracts.
Processing monthly statement billing for patient balances.
Posting payments from insurance carriers and patients.
Applying co-payments, co-insurance, and deductible amounts to patient accounts.
Responding to physician, patient, and insurance carrier questions and requests for information.
Evaluating patient demographics for accuracy and completeness.
Process patient phone payments.
Monitor and resolve financial discrepancies.
The medical biller will have direct contact with physician offices, surgery centers, other departments as well as insurance companies and must demonstrate a positive demeanor, good verbal and written skills, and be professional in both appearance and approach. Must demonstrate strong interpersonal skills to ensure cooperation from other departments and be able to handle potentially difficult situations and multiple tasks at one time. Must have a thorough understanding of insurance billing requirements for all federal, state and local agencies and third party submissions. In the event a bill does not pass the automated edits, must determine the required corrective action, and document repetitive errors. Employee must be a positive role model for other staff by working with them to promote team work and cooperation.