Job Summary:
We are seeking a detail-oriented Medical Biller/ Admin Specialist to join our healthcare team. The ideal candidate will be responsible for assisting in submitting medical claims to insurance companies and payers, ensuring accurate and timely reimbursement for services rendered, reviewing all patient correspondence, returning patient phone calls, and meeting with patients in a professional and timely manner. Performs functions critical to managing self pay, insurance, and divisional credit balance accounts per departmental and company policy. The ideal candidate will also have additional administrative responsibilities such as scanning and uploading patient documents, coordinating incoming faxes, and rescheduling patients.
Duties:
- Follow-up on aging insurance claims and file secondary/tertiary claims..
- Handle patient correspondence, phone calls, and walk-ins in a professional and courteous manner.
- Review and appeal claim denials as needed.
- Troubleshoot failed claims in nextgen PM and EHR
- Review credit balance accounts for possible overpayments or erroneous adjustments as needed. Transfer patient credits to open vouchers prior to processing patient refund requests in a timely and accurate manner.
- Work with billing and posting staff to expedite re-files, refunds, or other payment related issues.
- Process adjustments / write offs per department policy and provide supporting documentation
- Performs back up duties with charge entry such as office visits, pathology, infusion, nutrition, and facility procedures.
- Reconciles the missing ticket report and forwards charge data to the appropriate representative to process.
- Ensure that patient demographic and insurance information is updated in timely manner.
- Maintain strictest confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA) regulations.
- Maintain the security of protected health information (PHI); including what PHI access is allowed and the reason for access to PHI.
- Communicate with physicians to convey proper coding and billing policies.
- Report to work at the scheduled time and seldom be absent from work.
- Other duties as assigned.
Skills:
- Billing practices and clinic policies and procedures.
- Medical terminology, CPT, HCPCs, and ICD codes.
- Customer service concepts and techniques.
- Use of office equipment including phone, scanner, computer, fax machine and copier.
- Time management, problem solving, multitasking, organizing, and prioritizing.
- Understanding and following written and oral instruction.
- Auditing outstanding accounts and provide accurate resolution
- Communicating effectively both verbally and in writing with patients and other individuals inside and outside the practice.
- Maintaining confidentiality of sensitive information.
- Working independently in a timely, accurate, and thorough manner.
- Exhibiting a professional manner in dealing with others and working to maintain constructive working relationships.
This position offers the opportunity to work in a dynamic healthcare environment where your skills will be valued. If you have a passion for accuracy and efficiency in medical billing processes, we encourage you to apply.
Job Type: Full-time
Pay: From $20.00 per hour
Expected hours: 40 per week
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- Day shift
- Monday to Friday
Work setting:
Experience:
- ICD-10: 3 years (Preferred)
Ability to Commute:
- Raleigh, NC 27612 (Required)
Ability to Relocate:
- Raleigh, NC 27612: Relocate before starting work (Required)
Work Location: In person