Insurance Biller I
2 weeks ago
We are seeking a highly skilled and detail-oriented Insurance Biller I to join our team at Neighborhood Healthcare. As a key member of our billing department, you will play a critical role in ensuring the accuracy and efficiency of our medical billing processes.
Key Responsibilities- Validate correct coding processes to ensure compliance with Neighborhood Healthcare, contracts, funding programs, and agencies.
- Review and obtain required information for missing and incomplete billings, including missing DX, procedure codes, payer specific needs, eligibility screening, and coverage verification.
- Create and submit claims for clean billable charges and statements in compliance with correct coding initiatives and billing industry requirements.
- Process and monitor system claim status categories to ensure all transactions are captured for month end close.
- Register patients in the payment portal, as needed.
- Review, process, and obtain patient eligibility information to ensure accuracy and completion, including acquisition of authorization numbers, as needed.
- Apply discounts to billing statements for patients eligible for the Sliding Fee Discount Program (SFDP), as needed.
- Post patient and insurance payments to account balance adjustments and write offs, as assigned.
- Review and process refunds and insurance recoupment requests.
- Submit patient statements on cash accounts, as needed.
- Process monthly collection accounts for collection agencies, as needed.
- Support the patient billing phone lines and voicemails; return calls, as needed.
- Discuss billing inquiries with patients to resolve account questions and/or problems.
- Negotiate payment plans with patients, as needed.
- Provide excellent customer service to patients and escalate issues to a supervisor, if needed.
- Respond to site, insurance, and patient correspondences related to billing in a timely manner.
- Attend billing training and team meetings.
- High school diploma/GED required.
- Medical billing or coding Certification from an accredited school preferred.
- Two years of front office or medical administration experience required; medical billing experience preferred.
- Experience working in a specialty and/or FQHC community clinic is preferred.
- Excellent verbal and written communication skills, including superior composition, typing, and proofreading skills.
- Ability to interpret a variety of instructions in written, oral, diagram, or schedule form.
- Knowledgeable about and experience with insurance eligibility processes and coverage guidelines for multiple carriers.
- Knowledgeable about and experience with billing compliance standards.
- Knowledgeable on uses of CPT, HCPCS, and ICD codes.
- Knowledgeable with insurance payers, funding sources, and managed care plans.
- Ability to successfully manage multiple tasks simultaneously.
- Excellent planning and organizational ability.
- Ability to work as part of a team as well as independently.
- Ability to work with highly confidential information in a professional and ethical manner.
$29.75 per hour, depending on experience.
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