Medical Biller

Essential Duties and Responsibilities

Review patient chart documentation to assure correct coding and accurate billing. Process/ Enter accurate data into EPICARE Prelude Professional Billing in a timely manner.
Submit claims, Edits errors, and trouble shoots paper and/or electronically per carrier requirements in a timely manner. Clears errors per carrier receipt and re-submit. Trouble shoot correct and re-submit any claims returned by mail/electronically.
Assist patients by answering questions regarding individual statements.
On a daily basis, research claims unpaid status. Trouble-shoot and corrects to reduce AR balances.
On a daily basis work the various Work Que's (Charge Review, Claim Edit, Follow Up)
Post payments to system associated with patients and insurance carrier's remittance.
Prepares and Process refund to patients and insurance carriers.
Serve as a role model and mentor to staff, developing a positive team atmosphere within the department.
Meet or exceed customer needs in a caring, effective and efficient manner.
Maintain levels of quality that meet or exceed customer expectations through process improvement and a team oriented approach.
Other duties or projects as assigned.

Job Requirements

HS Diploma or GED. Completion of classes in medical terminology, anatomy and physiology, ICD-9 and Current Procedural Terminology (CPT) coding conventions, and disease process from an accredited program.
At least two (2) year billing experience in private or health care organization (preferred but required); Experience with physician or ambulatory setting coding preferred.
Computer skills: Working knowledge of Microsoft Word and Excel.
Able to use health related Practice Management System.

Professional Communication

Maintain confidentiality in matters relating to patient/family.
Interact with patients or designated caregiver with a variety of developmental and socio-cultural backgrounds.
Provide information to patients and families to reduce anxiety and convey an attitude of acceptance, sensitivity, and caring.