Biller

Description Scope of Tasks & Responsibilities: Handle claims denial follow-up. Perform thorough review of Explanation of Benefit correspondence with identification of billing error(s) Review of patient medical charts to identify proper coding for denied claims. Re-bill corrected claims with high degree of proficiency Follow-up with third-party payors to ensure compliance with established guidelines for billing and claim reimbursement Provide Front Office support Ensure patient accounting system is accurately closed on a timely basis. Perform electronic claim filing and paper claim submission Submit invoices to health care systems Submit billing corrections as necessary. Corrects charge, adjustment and receipt entry errors Post payments from deposit batch sheets and EOPs. Post all cash receipts to patient accounts Assist Clinic staff with patient accounting and related procedures Collaborate with their supervisor to increase revenue and system efficiency Communicate all outstanding billing required from Providers on a timely basis. Maintain confidentiality in accordance with RHC policy, HIPAA and any other applicable regulatory requirements. Exemplify the RHC mission through a personal example of excellent service to patients, visitors and coworkers. Attend regularly scheduled staff meetings Provide coverage for absent team members. Other duties as assigned Requirements Required Education, Certification, Experience and Skill: Business school training in medical billing preferred or comparable two years’ experience (minimum) as a billing specialist. Have demonstrated knowledge/experience with medical terminology, claims processing, and medical coding. Have a thorough understanding of managed care concepts including HMO, MCE and capitation Have a solid understanding of Medicaid and Medicare. Have a solid understanding of the complete billing cycle. Dental billing experience a plus. Proficient with MS Office and Practice Management Systems [ECW preferred]. Strong interpersonal and communication skills with an ability to work effectively with a wide range of people, supervisors, co-workers and vendors. Exceptional customer service skills Bilingual in Spanish a plus. #J-18808-Ljbffr Raphael Health Center Inc