WHMG Billing - Physician Commercial Biller- FT - 1st Shift

Wilson Health•Sidney, OH

10d•Onsite

About The Position

Wilson Health is seeking a full-time, experienced Physician Commercial Biller in Sidney, Ohio. Under the direction of the Manager of Patient Accounts, the Commercial Physician Billing Specialist releases commercial payer claims electronically and mails hard-copy 1500 claims when required. The role follows up on unpaid claims and rebills or appeals claims as indicated. The position works with physician groups, staff, Medical Records, patients, and payers to resolve billing issues, secure payment, and support appropriate claims processing. The schedule is Monday through Friday with flexible start times as early as 6:30 a.m. and an option for an 8- or 9-hour workday.

Requirements

High school diploma or GED.
At least one year of prior physician billing experience.
Prior physician billing experience is required.

Nice To Haves

Experience with Epic or another electronic health record and patient accounting system.
Experience using Microsoft Office applications, particularly Excel.
Familiarity with commercial payer requirements, professional billing, claim denials, and appeals.

Responsibilities

Bill claims through the electronic vendor Quadax and keep current with payer requirements and edits.
Bill secondary, tertiary, and other claims electronically, or mail the 1500 form with an EOB as required by the payer.
Monitor claims using various payer portals.
Work with physician groups and staff regarding charges and late charges.
Appeal claims on behalf of patients to secure payment or contest inappropriate denials, and follow up on appeals.
Process mail related to commercial professional billing to secure payment.
Work with physician groups, staff, and Medical Records to address denials for lack of authorization or medical necessity and obtain documentation or diagnoses for corrected claims or appeals.
Review underpayment records daily, ensure proper payer payment, and make appropriate adjustments.
Submit refund documentation to the Professional Supervisor or Manager of Patient Accounts.
Respond to patient calls regarding account balances, itemized bills, or explanations of benefits.

Benefits

Access to an employer direct care clinic.
Free medical care and pharmacy services for eligible employees and dependents covered by Wilson Health's medical insurance plan.
Paid time off beginning on the first day of employment.
Medical insurance with a choice of two HDHP options or a PPO plan.
Dental and vision coverage.
HSA with employer contribution for eligible health plans.
FSA for medical and dependent care expenses.
Company-paid life insurance and long-term disability insurance.
Voluntary accident, critical illness, and employee and dependent life and AD&D insurance.
Retirement plan with employer contributions beginning on day one and no participation waiting period.
Tuition assistance program.
Free access to an on-site gym available 24/7.
10% discount on food and beverages at the Wilson Cafeteria, Coffee Bar, and Micro Mart.