MIDWAY SPECIALTY CARE

JOB DESCRIPTION

Job Title: Medical Biller

Job Summary:

Responsible for the insurance billing process between the medical office and insurance companies, federal agencies and third party payers. Audits patient accounts to ensure procedure charges and coding accuracy. Collects payments from commercial insurance companies, state and federal agencies. Participates in performance improvement and continuous quality improvement (CQI) activities.

Duties & Responsibilities:

• Reviews patient claims for accuracy, required patient insurance, patient insurance, patient encounters, coding and procedure information for accurate submission.
• Coordinates the payment process and collects payments from insurance companies, federal and state agencies and third party payers.
• Maintains a professional working relationship with the insurance companies, government agencies and third party payers.
• Stays informed about changes in Medicare and Medicaid.
• Maintains current patient accounts and addresses in the computer system to avoid loss of claims. Always verifies patient account number.
• Responsible for contacting the appropriate agency/company to resolve account collection problems.
• Works Independently to resolve account problems.
• Communicates to the Billing Manager those accounts that need to be written off.
• Reviews patient accounts to ensure procedures have been properly coded and the charges are correct.
• Adjusts patients’ bills to reflect credits, debits and balances.
• Collects payments when patient statements are issued.
• Documents all correspondence and conversations with insurance companies, governmental agencies, third party payers and patients with accounts.
• Stays informed of changes in the insurance industry.
• Always accepts other assignments as needed.
• Verifies clearinghouse for submission to insurance companies. Ensures submission is successful.
• Corrects any errors found before submission is made.
• Communicates with office to correct errors or missing information, timely for proper filing as required.
• Works all rejected claims and reprocesses in a timely manner.
• Post payments to patient accounts and clear any balance that needs to be adjusted.
• Works to understand and correct any 0 balances received from payer source.

Required Skills & Abilities

The requirements listed below are representative of the knowledge, skill, and/or ability required.

• Ability to be flexible, organized and function well in stressful situations.
• Ability to communicate clearly and accurately with the Billing Manager and all other staff members.
• Interacts with patients/families in a professional manner; ensures confidentially of patient records.
• Ability to explain financial responsibility to patients.
• Maintains an effective working relationship with coworkers and patients.
• Supports and maintains a culture of safety and quality..
• Ability to apply intermediate math skills.
• Ability to solve practical problems and deal with a variety of variables.
• Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
• Knowledge of medical terminology.
• Knowledge of Microsoft Office software, and other database software.
• Thorough understanding of different insurance plans, government agencies, Medicare and Medicaid.
• Knowledge of medical electronic medical record systems. Working knowledge of eCW preferred.
• Ability to report to work on time and as scheduled; completes work within designated time frame.
• Complies with all organizational policies regarding ethical business practices..
• This position requires the ability to multi ‐ task, meet deadlines, make good decisions, and portray a professional and positive attitude. Prioritizes tasks.

Education and /Experience

• High school Diploma or GED;
• One to three years related experience and/or training, preferably in a medical practice; or equivalent combination of education and experience.
• Minimum of one year of experience with CPT and ICD Coding
• Experience with medical terminology.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• While performing the duties of this job, the employee is frequently required to walk, sit; use hands to finger, handle, or feel and talk or hear.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.

• While performing the duties of this position, the employee performs tasks in a temperature controlled office environment under normal office conditions.
• The noise level in the work environment is usually moderate.
• The work environment involves minimal exposure to hazards or physical risks, which require following basic safety precautions.

Job Type: Full-time

Pay: $16.00 - $18.50 per hour

Benefits:

• 401(k) matching
• Dental insurance
• Disability insurance
• Employee assistance program
• Employee discount
• Health insurance
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Ability to commute/relocate:

• West Palm Beach, FL 33401: Reliably commute or planning to relocate before starting work (Required)

Experience:

• ICD-10: 2 years (Required)

Work Location: One location

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