Medical Billing
3 weeks ago
**JOB OVERVIEW**:
Responsible for reviewing and submitting accurate claims to payers.
**ESSENTIAL FUNCTIONS INCLUDE BUT ARE NOT LIMITED TO**:
- Prepares and submits clean claims to various insurance companies either electronically or by paper.
- Assists with identifying and resolving billing issues/complaints.
- Maintains communication with all team members.
- Collect and resubmits claims to third party payors if necessary**.**:
- Participates in educational activities and attends monthly staff meetings.
- Conducts self in accordance with NEFHS employee manual.
- Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
**EDUCATION/EXPERIENCE**:
- Must be certified in billing/coding or four to seven years medical billing experience within a family practice medical environment.
- EClinicalWorks experience a Plus.
**QUALIFICATIONS/SKILLS**:
- Knowledge of medical billing/collection practices.
- Knowledge of CPT and ICD-10 coding.
- Knowledge of medical billing computer software.
- Knowledge of business office procedures.
- Knowledge of basic medical coding and third-party operating procedures and practices.
- Ability to operate a computer and basic office equipment.
- Skill in answering a telephone in a pleasant and helpful manner.
- Ability to read, understand and follow oral and written instructions.
- Ability to establish and maintain effective working relationships with patients, employees and the public.
- Must be well organized and detail oriented.
**ENVIRONMENTAL/WORKING CONDITIONS**:
Normal office environment. Occasional overtime may be required as well as occasional travel.
**PHYSICAL REQUIREMENTS**:
Requires sitting and standing associated with a normal office environment. Manual dexterity needed for using a calculator and computer keyboard.
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