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.