Medical Biller

Please make sure before you apply that you have all the qualifications required and you read well the job description .

APPLY HERE: forms.gle/jhiXFGRwFMp2uddQ9


OVERVIEW OF THE JOB:

Responsible for all aspects of patient/client billing and collections including but not limited to performing the billing function, ensuring timely payment, collections and follow up. Ensures services rendered are paid for within ninety (90) days. Recommends, provides input and may develop policies, processes and resources to evaluate and improve the billing and accounts receivable collection effectiveness and efficiency.



JOB QUALIFICATIONS:

-3 years full cycle medical insurance billing with a US based, outpatient group practice - not an insurance or DME company.
-Preferably with experience in billing mental health diagnosis, CPT codes and modifiers
-Strong experiences in verifying benefits using Availity and other insurance portal
-Strong experiences in billing US health insurance companies
-Our company is located in Michigan , we need someone who ideally have experiences in BCBS/BCN of Michigan, Priority Health, Aetna, Optum/UHC
-Fluent in using Electronic Health Records ( we are using Simple Practice and Google Space)
-Must be a HIPAA Certified
-Excellent Communication Skills (Ability to fluently speak and write in English)
-Detailed oriented with exceptional organization skills, analytical and problem solving skills
-Self-motivated, communicates well with team, including mistakes and issues that need resolution
-Proficient with technology, software , system and online platforms


SKILLS NEEDED:
-Proficient Computer Skills
-Multi-tasking
-Flexibility
- Telephone Skills
-Customer Service
-Time Management
-Organization
-Attention to Detail,
-Scheduling
-Word Processing,
-Professionalism
-Quality Focus
-Team Player




JOB DESCRIPTION:
-Accurately posting patient payments and refunds.
-Reviews patient’s bills for accuracy and completeness and obtain any missing information.
-Entering correct DSM 5 diagnosis, ICD-10 and HCPCS codes (we use 15 -20 and 5 account for 90% of our billing) and modifiers
- Answers the billing phone line promptly and courteously.
-Respond timely to payer denials using insurance appeal policies and specified office policies.
-Manage insurance claims and appeals for timely follow-up and resolution.
- Gather appropriate clinical documentation to complete proper medical review and appeals.
-Obtains revenue by recording and updating financial information; recording and collecting patient
charges; controlling credit extended to patients; filing, collecting, and expediting third-party claims.
-Identify denials resulting from ineffective office practices and offering solutions and suggestions.
-Identifying bad debt balances and notifying supervisor of uncollectible balances.
-Identify denial trends by payer and discuss their trends with management.
-Protects patients' rights by maintaining confidentiality of personal and financial information PHI
-Maintains operations by following policies and procedures; reporting needed changes.
-Contributes to team effort by doing your part, understanding company goals and values
-Cares deeply about patients and is always willing to go the extra mile.