Medical Biller

3 days ago

Providence, United States Brown Dermatology Full time
Job DescriptionJob Description

SUMMARY:

Under the general direction of the Manager of Revenue Cycle, performs a variety of functions related to patient accounts to ensure the financial stability of the organization.

This is not a remote position.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

  • Maintain current knowledge of federal and state regulations regarding medical billing practices.
  • Act as a resource to practice management and providers.
  • Maintain knowledge of all applications including eClinical Works, Epic, Microsoft Word, Excel and on-line payer verifications/claims status.
  • Submissions of claims to third party payers; ensure clean claim rates with submissions.
  • Identify trends within the Accounts Receivable
  • Verifies completeness and accuracy of all claims prior to submission.
  • Timely follow up on insurance claim denials, exceptions or exclusions.
  • Utilize monthly aging accounts receivable reports to follow up on unpaid claims aged over 30 days.
  • Refund processing for third party payors and patients.
  • Research and analyze payments for discrepancies to companies and individuals
  • Accurately post all insurance and patient payments. Reading and interpreting insurance explanation of benefits.
  • Make necessary arrangements for medical records requests, completion of additional information requests, etc. as requested by insurance companies.
  • Respond to inquiries from insurance companies, patients and providers.
  • Maintain patient confidentiality.
  • Demonstrate flexibility to perform duties wherever volume deems it necessary within the billing area.

BASIC KNOWLEDGE:

  • A technical understanding of reimbursement policies and procedures of various third-party payor and medical assistance programs to ensure billing procedures are compliant.
  • Interpersonal skills to exchange information with patients, internal and external clients.
  • Understand the basic reporting and balancing.
  • Analytical ability to research and resolve billing problems, trending and to prepare statistical reports depicting billing activity.
  • Knowledge of insurance guidelines
  • Problem-solving skills to research and resolve discrepancies, denials, appeals, collections.
  • Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds.
  • Provide feedback to Brown Dermatology practices surrounding error trends with demographics, eligibility, and etc.

EXPERIENCE:

  • High school diploma, GED
  • Three -five years of accounts receivable/third-party payor billing.


EOE/F/M/Vet/Disabled

Brown Dermatology requires employees to be vaccinated against COVID as a condition of employment, subject to accommodation for medical exemptions.

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