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Medical Biller II
4 months ago
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.
