Physician Biller - Full-Time with Benefits

Frederick Health • Frederick, MD

21h • Onsite

About The Position

Supports, and is responsible for incorporating into job performance, the Frederick Health (FH) mission, vision, core values and customer service philosophy and adheres to the FH Compliance Program, including following all regulatory requirements and the FH Standards of Behavior. The Physician Billing Representative is responsible for ensuring that patient charges and payments are correct on the patient account, insurance authorization has been obtained, timely submission of the account and timely follow up to achieve payment from third party payer or the patient. S/he demonstrates a high level of accuracy considering the volume and filing requirements of the various insurance payers; and recognizes the priorities of the work to be completed in order to maximize efficiency.

Requirements

• Knowledge of medical terminology, anatomy and physiology, pharmacology and disease processes
• Demonstrated competency with medical procedural coding (CPT/ICD10)
• Demonstrated competence with patient or customer information systems
• Intermediate proficiency and accuracy in the use of software programs such as MS Word, Excel, PowerPoint, ACCESS and Outlook
• Excellent communication skills, both verbal and written
• Ability to work in a fast paced environment
• Strong organizational skills and ability to prioritize and manage multiple tasks
• Ability to communicate information and ideas in speaking so others will understand
• Ability to understand written sentences and paragraphs in work related documents
• Ability to work professionally with a diverse population base
• Ability to maintain a high level of confidentiality
• Ability to create, compose and edit written materials
• Attention to details
• Ability to analyze and solve problems.
• Minimum of two (2) years prior physician billing experience with demonstrated working knowledge of professional fee billing transactions and regulations, claims, insurance carriers, rejection and denial codes, error correction and re-posting and contractual adjustments.

Nice To Haves

• Associate’s degree in business administration, or related field preferred.
• College courses in CPT and ICD-10 coding preferred.

Responsibilities

• Correct Availity Registration edits
• Run denials reports daily and correct claims or appeal where necessary
• Attach EOBs to secondary paper claims and submit for payment
• Attach referrals to claims and reprocess to carrier
• Print and send medical records with claims
• Key Medicaid claims for payment claims
• Work Vendor logs
• Patient and Insurance Correspondence
• Credit management
• Correct Registration errors
• Verify insurance eligibility and claim status
• Review exception batches for distribution
• Electronic payment and denial posting
• Posting of $0 balance remits
• Charge entry
• Reconciliation of Daily Batches
• Posting of daily payment batches
• Reconciliation of Daily office cash deposits
• Patient communication.

Benefits

• Health insurance
• Dental insurance
• Vision insurance
• Life insurance
• Short-Term Income Replacement
• Long-Term Disability
• Paid Time Off
• 403B retirement plan with employer match
• Free financial planning sessions
• Educational assistance program
• Employee Assistance Program

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED