Medical Biller

3 weeks ago

San Ramon, United States CVHCare Home Health Full time

CVHCare, a leader in Home Health Clinical Services headquartered in beautiful San Ramon, CA, is currently seeking a Medical Biller to join our office.

JOB TITLE: Medical Biller
REPORTS TO: Chief Financial Officer
FLSA: Non-Exempt / Hourly

PRIMARY FUNCTION: The Medical Biller is responsible for the accurate and timely
completion and submission of Government & Commercial billing including but not limited to
Medicare, private payer and patient billing, and accounts receivable tracking and follow-up. The
Medical Biller will be responsible for communicating with insurance carriers and patients to
ensure timely billing and follow up on all unpaid claims. In addition, the Medical Biller will bill
for unpaid balance incurred, post payments, and handle any other discrepancies with
reimbursements.

JOB DESCRIPTION:

  • Accurately processes and timely submits Government & Commercial claims including
    but not limited to Medicare, Medicaid, private payer and patient claims in accordance
    with payer requirements and organization policy.
  • Generate and track monthly billing and accounts receivable reports for all insurances
    served including patient billing, copays and deductibles.
  • Responsible for the collection of receivables by monitoring and managing accounts
    receivables, denials and appeals and alerting the billing manager of seriously overdue
    accounts.
  • Accurately enters visit charges into the EMR system.
  • Works in collaboration with Operations to alert and track Medicare Additional
    Development Requests (ADR).
  • Maintains complete and accurate billing and accounts receivable records.
  • Post patient payment remittances for all payor types.
  • Audit, follow-up and input billing authorization data as applicable.
  • Works in collaboration with Operations regarding late or missing documents required for
    billing.
  • Respond to patient and insurance inquiries.
  • Process insurance and patient refunds.
  • Establishes and maintains positive working relationships with patients, payers, staff, and
    other customers.
  • Maintains the confidentiality of organizational information, and patient records and data
    in compliance with HIPAA and other applicable regulations.
  • Maintain up-to-date knowledge of payer policies and applicable regulations and policies
    pertaining to your providers' insurances.
  • Performs other projects related to billing, data entry, collections and others as required.
    The above statements are intended to be a representative summary of the major duties and
    responsibilities performed by incumbents of this job. The incumbents may be requested to
    perform job-related tasks other than those stated in this description.
EDUCATION:
High School diploma or GED. AA Degree highly desirable.

QUALIFICATIONS & SKILLS:
  • At least 2 years of billing and collection experience, preferably with Medicare and
    Commercial insurance knowledge.
  • Medical billing certification is desirable.
  • Experience working within a healthcare environment is preferred. Home Health
    experience is highly desirable.
  • Meticulous attention to detail.
  • Patience and persistence with a sense of urgency is a must.
  • Understanding of HCPC & ICD, CPT Codes desired.
  • Strong working knowledge of spreadsheet and computer applications (Excel etc).
  • Knowledge and understanding of standard billing practices
  • Good oral and written communications skills.
  • Strong customer service and organizational skills.
  • Acceptable history of financial responsibility.
  • Ability to handle multiple responsibilities with minimum supervision and high level of
    accuracy


Apply: Respond to this post, including a copy of your resume

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