Insurance Biller/Coder

Job DescriptionJob Description

POSITION:Insurance Coder/Billing

DEPARTMENT:Business Office

PAY:$18-$21/HR, DOE

Job Summary:This individual is responsible for billing, follow-up and collection of all insurance claims; maintaining correspondence with patients and carriers, and documentation regarding same; working with supervisor of the accounts receivable department to review problem accounts and identify necessary action to be taken.

Education and Experience:

1. High school diploma or equivalent.
2. Two years minimum experience in medical office; billing and collections experience preferred.
3. NextGen experience, preferred

Essential Skills and Abilities:

1. Excellent communication skills, written and oral.
2. Strong organization skills with attention to detail.
3. Excellent follow-up skills.
4. Management of multiple tasks simultaneously.
5. Ability to work as a team player.

RESPONSIBILITIES:

1.Primary Responsibilities

1. Is responsible for full collection procedures on all patients.
2. Processes claims daily.
3. Answers insurance correspondence and responds to all requests from payers to receive full payments in a timely manner.
4. Works closely with Medical Records department to have correct records submitted if requested
5. Files and completes all appeals for denied claims
6. Communicates with the supervisor of the accounts receivable department any problem accounts.
7. Answers patient phone calls and establishes possible payment plans if appropriate and agreeable

2.Secondary Responsibilities

1. Backs-up other department staff, as needed.
2. Performs other duties, as required.

HS Diploma or Equivalent

2+ years of billing/collections experience required.

#KA

* Transmit claims for payment or further investigation.
* Process and record new insurance policies and claims.
* Collect initial premiums and issue receipts.

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