Medical Biller

ECVA’s Orchard Park Team is looking for an experienced full time Medical Biller / Coder. Energetic, caring, and reliable are the qualities we are looking for in our Team Members.

Your job as a Medical Biller / Coder is a very important one. You are responsible for timely preparation and filing of insurance claims (paper and electronic claims transmission), insurance aging reports, and prior approvals. Additional responsibilities include the timely review and follow up on all claims and collection of insurance claims and patient accounts. Your Billing Manager is always willing to work with you to review problem accounts and identify necessary action to be taken.

Education and Experience:

• Associate Degree or higher desired
• High school diploma or equivalent required
• Previous medical office billing experience.
• Medical Coding Experience Desired
• Strong computer background.
• Fluent in English.

Essential Skills and Abilities:

• Strong knowledge of CPT and Diagnosis Coding
• Credentialing Experience
• Working knowledge of medical insurance, payments and deductibles
• Strong organizational skills-well organized with attention to detail.
• Computer literate with spreadsheet experience.
• Strong mathematical and problem solving skills.
• Working knowledge of standard accounting principles.
• Excellent communication skills.
• Ability to work as a team member.
• Ability to manage multiple tasks simultaneously.
• Handle patient phone calls compassionately and efficiently.
• Loyal to the practice.
• Takes initiative to complete projects.

Responsibilities:

• Claims-Preparation and Filing:
• Print and mail paper claims
• Insurance and facility credentialing
• Transmit electronic claims.
• Attach EOB’s, reports, or original claim forms as needed.
• Send any additional information requested.
• Timely Follow-up on all claims:
• Phone insurance companies for status on claims.
• Correct and/or re-bill claims when needed.
• Electronic Submissions:
• Read reports to verify claims were received by clearinghouse and check for errors. Log all transmissions.
• Follow-up any rejections, correct errors and re-bill claims.
• Communicate with Clearinghouse to resolve problems.
• Review insurance claims daily. All documentation is entered in to the note section of said ticket regarding billing and EOB’s.
• Responsible for collection procedures on all patients over 30 days.
• Generate monthly A/R report for all accounts 60 days and over for all account types.
• Establish possible payment plan if appropriate and agreeable.
• Maintain daily log of patients we are expecting payment from; follow-up on non-payments.
• Work with Billing Manager to determine which accounts need appropriate collection process for those accounts over 90 days.
• Meet with Billing Manager weekly to discuss problem accounts and plan for upcoming week.
• Review the accounts aging analysis report monthly to determine the accounts requiring immediate attention.
• All insurance accounts referred from Billing Manager are re-filed or called.
• Incorrect payment amounts or denials are filed for review.
• Coordinate all patient and insurance refunds with Billing Manager and/or Accounting.
• Communicate with Billing Manager any billing supply needs.
• Posting of all payments received via mail and EFTs, reconcile own daily financials.
• Update provider information.
• Take calls directed to the Billing Department from patients and/or insurance carriers. Discuss accounts with patients and provide information required by insurance companies in order to get claim paid.
• Assist the front desk and Optical department troubleshoot their posting and billing errors.
• Assist with special projects as requested by management.
• Maintains work operations by following compliance plan, policies and procedures; reporting compliance issues.

Benefits:

• Generous Paid Time Off
• Paid Holidays
• Health Care effective on date of hire
• Retirement Plan with employer contribution
• Professional development assistance
• Life Insurance
• Flexible Spending Accounts and Health Savings Accounts
• Disability, Dental, Vision, Accident, and Critical Illness Insurance
• Employee Assistance Program
• And more!

Job Type: Full-time

Pay: $21.00 - $24.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Employee discount
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Ability to Commute:

• Orchard Park, NY 14127 (Required)

Ability to Relocate:

• Orchard Park, NY 14127: Relocate before starting work (Required)

Work Location: Hybrid remote in Orchard Park, NY 14127