Medical Biller - (D)

Description

Come join our growing team as a Medical Biller!

CPA Medical Billing, a division of GeBBS Health Care company, is currently seeking an experienced medical biller to join their team.

Connecticut based candidates only.

The Medical Biller is one of the most important components to revenue cycle management as this role plays an integral part in getting the doctors paid. This position requires a vast array of different skills that when applied properly deliver a positive result in a timely manner.

Responsibilities and Duties:

Research:

• Work aged accounts on assigned payers prioritizing accounts that are approaching timely filing denial.
• Devote time weekly to work current rejections 1 to 90 days old. Fix errors and re-bill accordingly.
• Look up payer eligibility using payer websites or call payers to gather needed information for billing. Update all accounts in the system for that patient and promptly re-bill.
• Contact guarantors as needed to determine insurance coverage. Drop tickets having no insurance to self-pay and bill patient.
• Work and identify the reason for the credit balance. Be sure everything going to the patient is self-pay. Review tickets on hold, checking chart to be sure they should be on hold and release after days on hold for that payer if dollars exist.

Appeals:

• Initiate appeals to payers following the guidelines outlined for that payer. Note account and track appeal to resolution.

Accountability:

• Enter notes on all tickets with action taken and paste any proof of insurance eligibility.
• Be prepared to account for action taken on tickets. Participate in meetings as instructed by management.
• Provide work status updates to management upon request that may including running statistical reports.
• Meet or exceed all set deadlines and goals.
• Promptly inform management of any problems or changes with system or payers identified during the course of daily work.

Assistance:

• Offer assistance and share knowledge with co-workers either when asked or when necessary for the betterment of completing tasks, the overall account and company.

Personal Development:

• Participate in personal development training and cross training as instructed by management.
• Understand and follow all payer rules when setting up billing schemes on accounts to ensure accurate claims.
• Follow protocol by informing managerial staff of any problems and never contact clients without the prior management approval.
• Understand coding rules and schemes to detect potential claim errors. Consult with coders on those accounts in question.

Office Policies:

• Adhere to all office policies at all times.
• Maintain confidentiality at all times.
• Work special projects as assigned.
• Retrieve voice mail several times daily and return all calls within 24-hour period.
• Participate in being “part of the team” – contribute to a calm but enjoyable workplace environment

Requirements

Qualifications and Skills:

• At least 2 years of full-time medical billing work
• Availability to work full-time (40 hours per week) between the hours of 8am and 6pm Monday through Friday (no weekends)
• Strong work ethic and ability to work independently in a very busy office
• Prior experience using ECW is preferred but not required
• FQHC experience is a plus
• Completion of medical billing/coding program or certification is strongly preferred