MEDICAL BILLING PROFESSIONAL

Due to our continued growth, we are in need of an additional medical biller. You are encouraged to apply if you have experience as a medical biller using  ECW.  ***THIS IS NOT A REMOTE POSITION***

JOB SUMMARY:

The Billing/Coding Coordinator is responsible for the daily activities of accounts receivable, which include the preparation, submission, and collection of insurance claims, Medicare/Medicaid billing, third party payer billing, and payment posting. The position reports directly to the Director of Business Operations.  The Billing Coordinator communicates any identified problems that may affect cash flow. In addition to the day-to-day billing activities, the Billing Coordinator assesses the billing cycles and anticipates problem areas for early intervention. Candidates must be responsible, reliable, and able to work with minimal supervision.

RESPONSIBILITIES:

·   Prepares, processes, and files accurate and timely insurance claims for all payer types in accordance with department policy and payer requirements.

·   Analyzes, interprets, and resolves all billing edits to ensure claims are filed accurately within the payer's regulations and filing limits.

·   Adheres to compliance and regulatory rules as mandated by CMS, state and federal regulations, payer contracts, and established department policies and procedures.

·   Processes and monitors all refunds, adjustments, corrections, etc.

·   Monitors compliance of proper billing practices in accordance with federal, state, local standards, guidelines, and regulations.

·   Prepares end of day, month, and year reports to comply with financial policy and procedures.

·   Handles correspondence related to the billing of a claim for all lines of business, answers questions and updates accounts as necessary.

·   Assists in cost containment development of the department within budgeted parameters, reviews bad debt activity.

·   Accurately posts payments to Patient Accounts. 

·   Oversees monthly cash reconciliations and reporting.

·   Updates and reviews all accounts to keep records up to date, follow up with payer on unpaid claims.

·   Resolves denials, appeals, and other payer issues, works with providers when required. 

·   Investigate and resolve patient/insurance company inquiries concerning services.

·   Perform billing/coding duties utilizing specific knowledge of medical terminology.

·   Participate and present at staff meetings and educational offerings. 

QUALIFICATIONS:

·   Experience in medical billing biller/coding required

·   AAPCMedical Coding Certification preferred

·   Working knowledge of eClinical Works preferred

·   Familiarity with CPT andICD-10-CM codes and procedures 

·   Excellent communication and interpersonal skills

·   Ability to organize and coordinate tasks with minimal supervision 

·   Confidentiality and trustworthiness

·   Excellent ability to organize and coordinate tasks with minimal supervision