Medical Biller I
5 days ago
CPA medical Billing a division of GeBBS Health Care company is currently seeking an experienced medical biller to join their team.
Connecticut based candidates only.
The Medical Biller/Accounts Receivable Specialist is one of the most important components to revenue cycle management as this role play an integral part in getting the doctors paid. This position requires a vast array of different skills that when applied properly deliver a positive result in a timely manner.
Responsibilities and Duties:
Research:
- Work aged accounts on assigned payers prioritizing accounts that are approaching timely filing denial.
- Devote time weekly to work current rejections 1 to 90 days old. Fix errors and re-bill accordingly.
- Look up payer eligibility using payer websites or call payers to gather needed information for billing. Update all accounts in the system for that patient and promptly re-bill.
- Contact guarantors as needed to determine insurance coverage. Drop tickets having no insurance to self-pay and bill patient.
- Work and identify the reason for the credit balance. Be sure everything going to the patient is self-pay. Review tickets on hold, checking chart to be sure they should be on hold and release after days on hold for that payer if dollars exist.
Appeals:
- Initiate appeals to payers following the guidelines outlined for that payer. Note account and track appeal to resolution.
Accountability:
- Enter notes on all tickets with action taken and paste any proof of insurance eligibility.
- Be prepared to account for action taken on tickets. Participate in meetings as instructed by management.
- Provide work status updates to management upon request that may including running statistical reports.
- Meet or exceed all set deadlines and goals.
- Promptly inform management of any problems or changes with system or payers identified during the course of daily work.
Assistance:
- Offer assistance and share knowledge with co-workers either when asked or when necessary for the betterment of completing tasks, the overall account and company.
Personal Development:
- Participate in personal development training and cross training as instructed by management.
- Understand and follow all payer rules when setting up billing schemes on accounts to ensure accurate claims.
- Follow protocol by informing managerial staff of any problems and never contact clients without the prior management approval.
- Understand coding rules and schemes to detect potential claim errors. Consult with coders on those accounts in question.
Office Policies:
- Adhere to all office policies at all times.
- Maintain confidentiality at all times.
- Work special projects as assigned.
- Retrieve voice mail several times daily and return all calls within 24-hour period.
- Participate in being "part of the team" – contribute to a calm but enjoyable workplace environment.
Requirements
Qualifications and Skills:
- At least 1-3 years of full-time medical billing accounts receivable work
- Availability to work full-time (40 hours per week) between the hours of 8am and 6:00pm Monday through Friday (no weekends)
- Strong work ethic and ability to work independently in a very busy office
- Prior experience using Athena is preferred
- Private practice knowledgeable
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