Medical Billing Specialist

Job Description

Job Description

Job Description Medical Biller

Summary of Duties:

Responsible for collecting, posting and managing account payments.

Responsible for submitting claims and following up with insurance companies.

Supervision Received:

Reports to CAO and CFO.

Essential Functions:

· Prepares and submits clean claims to various insurance companies either electronically or by paper.

· Answers questions from patients, clerical staff and insurance companies.

· Identifies and resolves patient billing complaints.

· Prepares, reviews and sends patient statements

· Evaluates patient’s financial status and establishes budget payment plans. Follows and reports status of delinquent accounts.

· Reviews accounts for possible assignment and makes recommendations to the COO, also prepares information for the collection agency.

· Performs daily backups on office computer system

· Performs various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers.

· Participates in educational activities and attends monthly staff meetings.

· Conducts self in accordance with CFHE’s employee manual.

· Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.

Education:

· High School Diploma or GED.

Skills/Experience:

· Knowledge of medical billing/collection practices.

· Knowledge of computer programs.

· Knowledge of business office procedures.

· Knowledge of basic medical coding and third-party operating procedures and practices.

· Ability to operate a computer and basic office equipment.

· Ability to operate a multi-line telephone system.

· Skill in answering a telephone in a pleasant and helpful manner.

· Ability to read, understand and follow oral and written instructions.

· Ability to establish and maintain effective working relationships with patients, employees and the public.

· Must be well organized and detail-oriented.

\nCompany Description

The Center for Family Health & Education, Inc. (CFHE) is a 501(c)(3) nonprofit Federally Qualified Health Center (FQHC), located in the northeast San Fernando Valley area of Los Angeles. CFHE provides affordable and comprehensive medical care for underserved, uninsured, and underinsured residents of the greater Panorama City area. CFHE has been providing primary health care, mental health care, dental care, and women’s and children health care, as well as transportation services for patients since 2009.

Company Description

The Center for Family Health & Education, Inc. (CFHE) is a 501(c)(3) nonprofit Federally Qualified Health Center (FQHC), located in the northeast San Fernando Valley area of Los Angeles. CFHE provides affordable and comprehensive medical care for underserved, uninsured, and underinsured residents of the greater Panorama City area. CFHE has been providing primary health care, mental health care, dental care, and women’s and children health care, as well as transportation services for patients since 2009.