JOB TITLE:
Medical Biller
SUMMARY:
The Medical Biller accurately inputs information into the billing system, processes insurance claims and billing by obtaining background information and making arrangements to obtain monies owed.
DUTIES AND RESPONSIBILITIES:
Identifies and resolves billing queries/problems.
Codes services provided utilizing CPT and ICD-10 coding.
Posts payments and applicable credits to accounts while maintaining balance sheets.
Researches and processes refund requests and overpayments.
Prepares correspondence and/or collection letters.
Communicates with payees to answer questions and provide additional supporting documentation.
Prepares letters of appeal to insurance companies if the company refuses to pay contracted claims and/or denies a claim; submits documentation necessary to support claim; resubmits claims with corrections if needed for payment for all insurance payers.
Enters data and charges from charts into the billing system; generates all required reports.
Answers phones and assists patients with accounts.
Generates and submits electronic claims and statements at designated intervals; corrects any errors for complete and accurate transmission of data.
Abides by state collection and credit regulations; interprets and complies with state/federal regulations, laws, and guidelines.
Performs additional duties including but not limited to copying checks received and recording payment, faxing information as required, generating retroactive authorization requests, and verifying medical eligibility.
Performs other related duties as assigned by management.
QUALIFICATIONS:
High school diploma or equivalent
Two to four years related experience or equivalent
Excellent written and oral communication skills
10-key by touch; keyboarding speed of at least 50 wpm.
Knowledge of medical billing terminology.
Ability to perform diversified clerical functions and basic accounting procedures.
Ability to effectively communicate with people at all levels and from various backgrounds.
Commitment to excellence and high standards
Strong organizational, problem-solving, and analytical skills
Ability to manage priorities and workflow
Versatility, flexibility, and a willingness to work within constantly changing priorities with enthusiasm
Acute attention to detail
Ability to work independently and as a member of various teams and committees
Excellent customer service skills
Proven ability to handle multiple projects and meet deadlines
Demonstrated ability to calculate figures and amounts such as discounts, interest, commissions, and percentages.
Ability to understand and follow written and verbal instructions.
PHYSICAL DEMANDS AND WORK ENVIRONMENT:
Requires sitting and standing associated with a normal office environment. Manual dexterity needed for using a calculator and computer keyboard. This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, skills and working conditions may change as needs evolve.
LOCATION:
On-Site at Englewood, NJ
BENEFITS:
Competitive salary and benefits package
Health, dental, and vision insurance
Retirement Plan
Employee Assistance Program
Paid Time Off
Opportunities for professional development and growth
Collaborative and supportive work environment
SCHEDULE:
Monday to Friday
9:00 am - 5:00 pm
8 hour shift
At Progressive Spine & Orthopaedics, we are committed to maintaining a safe and drug-free workplace. As part of our hiring process, all candidates who receive a job offer will be required to undergo a pre-employment drug test and background check. These steps are essential to ensure the safety and well-being of our employees and patients.
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