Medical Biller

Description

Position Objective: Protects hospital from losses by ensuring third party insurance claims are billed in accordance with federal, state and local regulatory

requirements and statutes. Resolves patient and insurance inquiries. Follows up with third party payors to ensure reimbursement is received within 60 days. Essential Job

Duties: Reasonable accommodations may be made to enable individuals with disabilities to perform the

essential functions. Actively adheres to regulatory and governmental agency

requirements regarding billing and reimbursement. Prepares and bills patients’ insurance, including interim billing and late charges. Paper claims are to be reviewed for accuracy and billed within two business days. Resubmits and/or contacts insurance carriers to follow up on previously billed accounts. Accurately rebills when appropriate. Performs necessary functions in Work-queues and / or aged trial balance taking steps to resolve obstacles to timely payment. Advises team leader of any errors or issues that may be contributing to slow payment or non-payment of claims. Ensures actions are documented in the Meditech B/AR comments routine or EPIC account notes. Answers and resolves telephone inquiries and correspondence in professional, courteous manner. Attends daily huddles, department meetings and in-services. Follows Standard work daily Prepares documentation and submits for scanning daily as needed. Utilizes appropriate website, provider portals and other media as needed for claims resolution.

Skills

HB, Hospital Billing, Medical Billing, AR, Medical Collections, follow up, Epic

Top

Skills Details

HB,Hospital Billing,Medical Billing,AR,Medical Collections,follow up

Additional

Skills &

Qualifications

Preferred

Qualifications

Two (2) years’

experience working with an Electronic Medical Record (EPIC preferred) Current/Recent strong HB (Hospital Billing)

experience (at least 2+years) Current/Recent strong Commercial Insurance/Payor ex

Minimum

Qualifications: High School Diploma, or equivalent WITH a minimum of five (3) years related

experience; OR an equivalent combination of

education and/or

experience. Must have knowledge of Internet and Microsoft Office software (MS Word, MS Excel, MS PowerPoint, MS Outlook). Must have excellent written and oral communication

skills, including exceptional customer service. Must be able to establish and maintain effective working relationships with doctors, clinical staff, other co-workers and the public. Must be able to work individually as well as within a team. Must be able to follow both verbal and written instructions. Must be able to respond with patience and understanding during stressful conditions related to patient health and emergent situations. Must be able to multi-task and prioritize. Must demonstrate extreme attention to detail. Must possess strong organization

skills. Must be able to problem solve and use reasoning. Must be able to meet predefined quality standards. Must maintain and project a professional attitude and appearance at all time. Must have a working knowledge of CPT and ICD-10 coding rules. Must have a solid foundation of insurance knowledge and guidelines for third party payers. Must have a working knowledge of the healthcare field and medical specialty, as well as medical terminology. All staff are expected to have a strong desire to provide excellent customer service; to comply with the rules and regulations of those organizations to which we are accountable; to have high ethical and professional standards of conduct; and to have an attitude of wanting to continuously improve their own professional performance. Commercial Insurance/Payor

experience

Experience Level

Intermediate Level

About Teksystems

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The Company Is An

equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.