Physician Biller - Full-Time - (8a - 4:30p)

Frederick Health•Frederick, MD

14h•$18 - $26

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. Example of Essential Functions: 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.

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
High School Diploma or GED required.
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

Frederick Health offers a comprehensive and affordable benefits package.
Health, Dental and Vision insurance are offered the 1st of the month after 30 days of employment to all employees hired to work at least 20 hours per week and we offer multiple plans to best meet your and your family's needs.
Life insurance, Short-Term Income Replacement and Long-Term Disability are employer paid for eligible employees.
Frederick Health offers a robust Paid Time Off program for eligible employees.
Our 403B retirement plan helps you save for your retirement and includes an employer match to eligible employees.
All employees have access to free financial planning sessions.
We also offer an educational assistance program to support your education goals as well as an employer paid Employee Assistance Program.
Pay is based on experience, skills and education.
If position is part-time, salary will be pro-rated based on scheduled hours.
The pay range may also vary within the stated range based on specialty if applicable.
Non-Exempt positions may have shift differential and/or Overtime paid, if applicable.