Medical Biller
1 month ago
There is a lot of room for personal and professional growth within the organization as we are continually growing and adding on additional medical providers-we are looking for a medical biller, but this person may float to other job duties potentially as needed.
We are a family-owned business and have created a wonderful atmosphere and culture for our employees and patients.
Our culture is best described as light-hearted, fun, and caringwe even have two small office dogs (Papillons) that join us daily to keep the environment fun and light-hearted Our support staff (including you if you are hired) are the backbone of our organization.
We are very team oriented and we genuinely value each and every person on our team.As a medical biller for our practice, you will be a huge contributor to the culture and the success of this office, which is rewarded.
We value our employees and pay well.Why should you consider us?
- Familylike Atmosphere
- Professional Growth Opportunities
- Each Employee Cross Trains Other Job Functions (opportunity to learn new skills)
Medical Billing Responsibilities:
- Calculating Patient Copayments / Coinsurance Verifications
- Insurance Verification of Benefits / Insurance Benefits Reviews
- Performing Insurance Required Pre-Authorizations (as needed)
- Verifying Patient Superbills Accuracy Prior to Submission
- Electronic Submission of all Patient Claims
- Mail Patient Claims to Primary and/or Secondary Insurances (as necessary)
- Posting Electronic Remittance Advices (ERAs)
- Posting Mailed and/or Faxed Insurance Remittance Advices
- Posting Patient Payments to Patient Visits / Accounts
- Fixing Claims Rejections
- Fixing all Claims Denials
- Continued Follow-Up on Claim Denials until Resolved
- Follow-Up on No Response Claims from Insurance
- Answering Patient Billing Questions
- Revenue Cycle Management:
- Periodically Sending Patient Statements
- Collecting Past Due Patient Accounts
- Resolving Accounts Receivables / A/R Aging Reports
- Auditing Monthly Missed Encounters
- Auditing of Unapplied Payments
- Auditing of Missed Copays
- Posting Online Patient Payments
- Refund Issuances
- Provider Insurance Credentialing
- Complete all provider credentialing and recredentialing processes for our medical providers, ensuring timely submissions and compliance to each insurance plan we participate in
- Sets up and maintains provider information in online credentialing databases (CAQH)
- Credential new medical providers that are brought into our medical group with existing insurance plans we participate in
- Credential existing medical providers with new health insurance plans as the need arises
- Communicate with providers, insurance companies, and other stakeholders to resolve any credentialing issues or discrepancies
- Complete audits and quality assurance activities related to credentialing
- Monitor, advise, and assist staff in renewing and maintaining their licenses and certifications
- Tracks license and certification expirations for all providers to ensure timely renewals
- Tracks license, DEA, and professional liability expirations
- Maintains copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers
- Credential new provider practice locations with insurance companies as needed
- Ensures practice addresses are current with health plans, agencies and other entities
- Audits health plan directories for current and accurate provider information
- Maintain meticulous records of licenses, credentials, and insurance contracts
- Compiles and maintains current and accurate data for all providers
- Release required information to agencies and the public as per legal mandates
- Ensure adherence to regulatory and accrediting institutions across all aspects of credentialing and licensing
- Collaborate in refining and optimizing internal credentialing processes for efficiency and accuracy
- Performs other requested job duties as they arise
Receptionist Responsibilities:
- Check-In Activities
- Check-Out Activities
- Patient Scheduling
- New Patient Triage
- Taking Patient Copay / Coinsurance Payments
- Calling in Prescriber RX's (as needed)
- Opportunity to Train as a TMS Technician / TMS Treater (you will be trained by the medical director to be a fillin TMS Technician / TMS Treater)
- Utilizing our Electronic Medical Record (EMR) Tebra System
- Medical Records Requests
- Other Ad Hoc Projects (as needed)
- Hardworking (someone not afraid to get in there and do the job that is required)
- Motivated
- Problem Solver
- Customer-Service Oriented (the p
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