Medical Biller II

2 weeks ago


Columbia, United States Infojini Full time
This position provides clerical support and medical billings support to the clinic according to Title X guidelines.

Additionally, this position would assist with campus outreach and provide guidance to clients on accessing their health care benefits.

50% - Medical Billing Management of HCC Wellness Center Clinic - Interviews clients to determine insurance status using Electronic Health Record (EHR), Electronic Verification System (EVS) or other insurance portals; follows up with pending insurance status of clients - Obtains authorization/pre-authorization when necessary

- Enters all financial information into EHR, verifies deductible and determines fee scale eligibility by obtaining proof of income

- Creates e-superbill charges for clients at the end of each visit and submits claims

- Collects and processes payments (Check, credit card, cash) and reconciles daily End of the Day collection reports and submits to Fiscal 25% - Clerical Support

- Registers new clients into EHR

- Assists clients with making appointments and using EHR kiosk, scans identification cards and any insurance cards, verifies and updates demographic information

- Provides follow up appointments for clients at the end of the visit

- Communicates with Health Department (HD) Front Office staff when necessary to refer or schedule clients at the Main Office

- Assists with telephone triage and transfer to the appropriate staff member

- Reports any issues to CHNII or clinical Office Manager

- Participates in rotating assignment for clerical coverage in community clinics as assigned 25% - Resource Guidance

- Provides guidance as needed either through individual education or group discussion on additional health department services and community resources

- Provides guidance on accessing health care and available benefits for those with public, private, or no health insurance benefits

Skills Required:

* Ability to communicate clearly and accurately.

* Ability to use dictation/transcription equipment fax PC and copier.

* Perform the duties of Medical Biller I. Prepare claims documentation utilizing ICD-9 and CPT coding 1500 Ubs.

* Process/verify documentation for accuracy.

* Compile medical documentation file.

* Place/receive phone calls.

* Obtain insurance authorizations.

* Intermediate to advanced knowledge of multiple software.

* Experience with medical coding and insurance authorization procedures.

Skills Preferred: Desired Qualifications:

- Bilingual in Spanish

- Experience working in a medical office

- Experience with electronic health records

- Experience working with health insurance providers, including Medical Assistance

- Experience with Medical Billing

Experience Required: - Two years of experience reviewing, verifying, recording, adjusting and balancing financial transactions.
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