Physician Biller - Central Billing Office - Full-time

Frederick Health • Frederick, MD

5h • $18 - $26

About The Position

The Physician Biller supports Frederick Health’s mission, vision, core values, customer service philosophy, Compliance Program, regulatory requirements, and Standards of Behavior. The role ensures that patient charges and payments are accurate, insurance authorization is obtained, accounts are submitted on time, and follow-up is completed to secure payment from third-party payers or patients. The Physician Biller maintains accuracy across high volumes and varying payer filing requirements and prioritizes work to maximize efficiency.

This is a full-time, dayshift position scheduled from 8:00 a.m. to 4:30 p.m. It reports to the Manager, Physician PFS. The role is sedentary to light work, primarily performed sitting, with some walking or standing and infrequent lifting of up to 15 pounds. The position has no exposure to blood or body fluids and does not require patient contact.

Requirements

• High school diploma or GED.
• At least two years of prior physician billing experience.
• Working knowledge of professional fee billing transactions and regulations, claims, insurance carriers, rejection and denial codes, error correction and reposting, and contractual adjustments.
• Knowledge of medical terminology, anatomy and physiology, pharmacology, and disease processes.
• Demonstrated competency with medical procedural coding (CPT/ICD-10).
• Demonstrated competence with patient or customer information systems.
• Intermediate proficiency and accuracy with software such as MS Word, Excel, PowerPoint, Access, and Outlook.
• Excellent verbal and written communication skills.
• 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 clearly in speech.
• 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 detail.
• Ability to analyze and solve problems.

Nice To Haves

• Associate’s degree in business administration or a related field.
• College coursework in CPT and ICD-10 coding.

Responsibilities

• Correct Availity registration edits.
• Run daily denial reports and correct claims or appeal when necessary.
• Attach EOBs to secondary paper claims and submit them for payment.
• Attach referrals to claims and reprocess claims to the carrier.
• Print and send medical records with claims.
• Key Medicaid claims for payment.
• Work vendor logs.
• Handle patient and insurance correspondence.
• Manage credits.
• Correct registration errors.
• Verify insurance eligibility and claim status.
• Review exception batches for distribution.
• Post electronic payments and denials.
• Post zero-balance remittances.
• Enter charges.
• Reconcile daily batches.
• Post daily payment batches.
• Reconcile daily office cash deposits.
• Communicate with patients.

Benefits

• Health, dental, and vision insurance, available on the first of the month after 30 days of employment for employees hired to work at least 20 hours per week.
• Employer-paid life insurance, short-term income replacement, and long-term disability for eligible employees.
• Paid Time Off program for eligible employees.
• 403(b) retirement plan with employer match for eligible employees.
• Free financial planning sessions for all employees.
• Educational assistance program.
• Employer-paid Employee Assistance Program.

What This Job Offers

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