Medical Biller - On Site

Description

Job Title: Medical Biller- On Site

Department: Billing

Report To: Billing Manager

Schedule: Monday-Friday: 8 AM-4:30 PM or 8:30 AM- 5PM

Job Summary

Example: The Medical Biller supports PATHS’ mission by assisting patients and families in securing appropriate health coverage, resolving billing issues, and advocating for financial resources. This role ensures accurate documentation, compliance with HIPAA and healthcare regulations, and contributes to timely revenue recovery for PATHS’ provider clients across multiple states.

Company Information

Physician and Tactical Healthcare Services (PATHS), LLC is committed to provide the best possible environment for maximum development and goal achievement for all employees. Our practice is to treat each employee as an individual. We seek to develop a spirit of teamwork; individuals working together to attain a common goal. In order to maintain an atmosphere where these goals can be accomplished, PATHS provides a comfortable and progressive workplace. We take into account individual circumstances and the individual employee.

Founded in 2000, PATHS offers a broad range of account receivable management, patient advocacy, and consultation services to assist the needs of our healthcare clients. Our 4 offices in PA, NJ, and DE are home to 450 employees and that serve over 100 clients. Our team has built flourishing long-term partnerships with clients and staff by cultivating a great experience.

Essential Duties & Responsibilities

• Exporting, importing and submitting claims from one system to another system
• Medical Billing collections and follow up
• Resolving insurance denials and underpayments
• Review of medical claims
• Identify and resolve outstanding issues preventing claim resolution
• Documentation and data entry
• Other duties as assigned

Requirements

Supervisory Responsibilities

This position has no supervisory responsibilities.

Required Skills & Abilities

• Working knowledge of Medicaid
• Understanding of EOB and insurances
• Understanding of CPT, ICD-10, and UB-04 claim forms
• Excellent interpersonal skills both written and verbal
• Working knowledge of Microsoft applications: Outlook, Word and Excel
• Detail oriented, strong problem solving, and research skills
• Ability to meet productivity goals

Education & Experience

• High school diploma or GED required
• 6 months of medical billing experience
• Experience working with an EMR system required
• Navinet, PEAR, Availity and/or EPIC experience preferred

Physical & Environmental Requirements

• Prolonged periods sitting at a desk and working on a computer.
• Frequent movement in hospital or office settings, including walking between patient rooms and departments.
• Occasional lifting of up to 15 pounds.
• Must have reliable transportation and valid driver’s license.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Pre-Employment Requirements

Offers of employment are contingent upon successful completion of applicable screenings consistent with federal, state, and local laws.
Screenings may include: background check, drug screen, physical exam, PPD screening, and verification of immunization records (role-specific).
Employment eligibility will be verified through I-9/E-Verify.
Because PATHS operates in the healthcare industry, certain screenings (e.g., OIG/GSA exclusion checks, state Medicaid exclusion lists) may be conducted on a recurring basis as required by federal and state law, client contracts, and hospital compliance programs.

Compensation & Benefits

Compensation: $17.00 – $22.00/hour

• Benefits include: Paid Time Off, Paid Holidays, Medical, Dental, Life Insurance, Short-Term Disability (STD), Long-Term Disability (LTD), and a 401(k) Plan with company match.

EEO & Compliance Statement

PATHS is an Equal Opportunity Employer and complies with all applicable federal, state, and local employment laws. We provide equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, national origin, age, disability, veteran status, marital status, sexual orientation, gender identity or expression, or any other status protected by applicable law. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.