The medical biller is responsible for posting claims for the services rendered by the physician’s and submitting all secondary payer claims. This position will serve as the primary contact person for all billing inquiries as outlined below.
Charge entry and payment allocation of all time of service payments using the IDX BAR/WEB/CROWN/IDEAS systems within the department specified timeframe.
Reviews and completes all TES edits according to department policy.
Recognizes and submits weekly, any information needed for proper billing to coordinator and/or manager. i.e. diagnosis codes, referring physician information.
Effectively communicate with physicians and clinical personnel to obtain proper billing information.
Follows up on ETM requests received from the CRO/Vendors regarding any coding, medical records, charge entry, contractual adjustments or write offs pertaining to the division.
Prepares and submits any secondary insurance claims.
High School graduate or GED certificate
Knowledge of Medical terminology and 2-3 years of related experience
Good interpersonal, verbal, telephone and written communication skills in the English language,
Functional knowledge of basic computer operation and keyboard functions.
Ability to follow through and handle tasks simultaneously.
Ability to work independently.
Some knowledge of electronic billing systems.
Knowledge of insurance billing requirements and HCFA 1500 forms, HMOs, PPOs, Medicare and Medicaid.
Must be a motivated individual with a positive attitude and exceptional work ethic.
Some analytical experience
Computer software skills (i.e. IDX, Microsoft Word, Excel, Email, Outlook, etc.)