Medical Billing
1 month ago
Job Purpose: Responsible for the complete and accurate billing process and patient charges in accordance with Business Office procedures as it pertains to Accounts Receivables. Upon successful completion and training at MNGI's NE Minneapolis Corporate office, there may be an opportunity to transition to remote work. This is a full-time position, scheduled M-F. The starting rate of pay for this position is between $19.55-$22.48/hour. Where an applicant may fall on the salary range will vary based on a variety of factors, including but not limited to experience and education.
Essential Functions: In order to perform this job successfully, an individual must be able to perform each essential function satisfactorily and regular attendance is required. The responsibilities listed below are representative of the primary essential functions required; additional duties may be assigned. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Accounts Receivables:
- Ensure all internal and external phone calls (patients, staff, insurance companies, etc.) are handled in a professional manner with a customer service approach.
- Accurately post insurance payments, adjustments, and refunds while maintaining an understanding of insurance remits and Explanation of Benefits (EOBs).
- Demonstrate an understanding of Electronic Practice Management (EPM) and Electronic Health Records (EHR) within NextGen software as it relates to insurance, demographics, and release of information associated with the daily functions of the Business Office.
- Understand the process from the time patient schedules an appointment, front desk procedure, coding, billing, application of payment, and collections.
- Work closely with patients, insurance companies, and co-workers to address or resolve any concerns while maintaining HIPAA compliance.
- Monitor remittance advice for details including denials and payment inconsistencies.
- Submit replacement claims and appeals to the insurance companies; submit timely follow up requests for status.
- Any and all other duties as assigned.
Patient Accounts:
- Receive patient phone calls and assist in resolution while maintaining professionalism, with a customer service approach.
- Accurately enter patient payments, adjustments, and refunds as received electronically, by phone, check, or otherwise.
- Demonstrate an understanding of Electronic Practice Management (EPM) and Electronic Health Records (EHR) within NextGen software as it relates to insurance, demographics, and release of information associated with the daily functions of the Business Office.
- Understand the process from the time patient schedules an appointment, front desk procedure, coding, billing, application of payment, and collections.
- Verify insurance coverage prior to patient appointments utilizing reporting from external vendor (Healthia)
- Maintain aging accounts, working closely with patients to establish payment plans
- Work closely with internal and external parties (patients, primary care clinics, collection agencies, coworkers) to address and resolve any concerns while maintaining HIPAA compliance.
- Responsible for weekly rotating job tasks, including but not limited to: manually posting patient payments, posting and mailing patient refund checks, processing patient credit card payments, Healthia work log tasks, and additional clerical tasks.
- Any and all other duties as assigned.
Qualification Requirements: The qualifications listed below are representative of the knowledge, skills, and/or abilities required to perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and Experience Requirements: High School Diploma or GED required. 1-2 years of experience in a business office/billing setting.
Certifications/Licenses: None required.
Knowledge, Skills and Abilities:
Working knowledge of:
- Microsoft Office applications
- Insurance payers
Skills:
- Compassionate patient care
- Active listening
- Problem solve, prioritization, and critical thinking
- Attention to detail
- Organization and time management
Ability to:
- Multitask
- Communicate effectively verbally and in writing
- Work independently as well as in a team environment
- Type proficiently and accurately
Physical Requirements: The physical requirements described here are representative of the physical demands required by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee may be required to walk, sit, stand, reach overhead, and bend to the floor. The employee is regularly required to talk and hear. The employee is required to use dexterity of hands and fingers to operate a computer keyboard, mouse, and other office equipment. Specific vision abilities required by this job include close vision and ability to adjust focus. The employee may be required to lift and transport items up to 10 pounds occasionally. Employees may be required to travel to other company locations due to staffing and training needs.
Working Environment: The working environment described here is representative of the setting which an employee may encounter on the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this position, the employee works in an office environment. The employee is exposed to a computer monitor daily. The employee may be required to travel by automobile and exposed to changing weather conditions while performing the duties of this position. While performing the duties of this position, the employee must be alert to conditions that may impact the safety of patients, employees and visitors.
This job description reflects management's assignment of key responsibilities; it does not prescribe or restrict the tasks that may be assigned.
MNGI Digestive Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
It is the policy of MNGI Digestive Health to comply with all federal and state laws concerning the employment of persons with disabilities and to act in accordance with regulations and guidance issued by the Equal Employment Opportunity Commission (EEOC). Furthermore, it is the company policy not to discriminate against qualified individuals with disabilities in regard to application procedures, hiring, advancement, discharge, compensation, training or other terms, conditions and privileges of employment
MNGI's Culture of Caring
We are caring people, caring for people - working with Compassion, Teamwork, and Integrity
- Compassion: being empathetic and considerate of the needs of our patients and caregivers
- Teamwork: Being accountable for actions, supporting each other in meeting the needs of our patients, and respecting the voice/opinions of others assuming good intent.
- Integrity: Demonstrating honesty, trustworthiness, and transparency whenever you interact with patients or each other.
Minnesota Gastroenterology, P.A. is an EEO/AA employer: women, minorities, the disabled and veterans are encouraged to apply.
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