MEDICAL BILLER

Primary function.

To work with staff and clients to ensure bills are processed timely and to assist patients in meeting their financial obligation to CH-F.

Duties and responsibilities

• Post charges and ensures completion of claims to payors in a timely fashion. (Nursing Home, Clinic, and Inpatient claims if necessary)
• Handles phone correspondence from Insurance carriers and/or patients regarding insurance claims. Documents comments in the computer.
• Analyzes accounts with credit balances created by private insurances or self-pay overpayments; prepares refund requests created by the overpayments.

• Responsible for policies/procedures for position.
• Applies Diagnosis codes as appropriate to each account (Nursing Home and clinic)
• Is up to date on all billing and coding guidelines for their respective clinics.
• Is able to operate all systems utilized for their job, Evident, RCM, and the 3M coder.
• Responsible for applying sliding scale discounts to accounts of sliding scale patients.
• Works their clinics RCM claim workQUE and denial workque.
• Performs all other duties as assigned.

Qualifications

Qualifications include:

• High School Diploma or GED Equivalent, Associates Degree Preferred
• Good clerical skills to include typing, filing, above average computer skills and phone etiquette.
• Knowledge of business and accounting processes.
• Excellent communication and interpersonal skills.
• Dependable and Responsible.
• Able to work under general supervision.

Working conditions

Generally, works in an office environment.

Physical requirements

This position involves a lot sitting. It also requires a lot of visual activity which involves the use of the computer, extensive reading, and preparing and analyzing medical and payer information. Adaptability to perform a variety of duties, often changing from one task to another of a different nature without loss of efficiency or composure.