Medical Biller

Medical Biller - Patient Benefit Representative

Annapolis, MD Pay From: $23 per hour

MUST: The Patient Benefit Representative or Medical Biller must have experience: High school diploma or equivalent required Minimum three (3) years patient pre-services coordinator or equivalent required Proficiency with computer systems and Microsoft Office (Word and Excel) required Demonstrate knowledge of CPT coding and HCPS coding application Must be able to verbally communicate clearly and utilize the appropriate and correct terminology

DUTIES: Prior to a patient receiving treatment, obtains insurance coverage information and demographics Educates patient on insurance coverage, benefits, co-pays, deductibles, and out-of-pocket expenses Assess patients' ability to meet expenses and discusses payment arrangements May educate patients on financial assistance programs as well as identify sources and provide assistance with completing forms Based upon diagnosis, estimated insurance coverage, and financial assistance, completes Patient Cost Estimate form Completes appropriate reimbursement and liability forms for patient’s review and signature Forwards appropriate information and forms to billing office Responsible for obtaining from Clinical Reviewer, insurance pre-authorization or referral approval codes prior to each treatment Review patient account balance and notify front desk of patients to meet with Ensure that patient co-pay amount is correctly entered into system (or conveyed), allowing front desk to collect appropriately At each patient visit, verifies and updates demographics and insurance coverage in computer system according to Standard Operating Procedures (SOPs) Stays current on available financial aide Develops professional relationships with financial aid providers Networks with financial aid providers to obtain leads to other aid programs Adheres to confidentiality, state, federal, and HIPPA laws and guidelines with regards to patient’s records Maintains updated manuals, logs, forms, and documentation Performs additional duties as requested Other duties as requested or assigned Quadrant is an affirmative action/equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, status as a protected veteran, or status as an individual with a disability. "Healthcare benefits are offered to all eligible employees according to compliance mandated by the Affordable Care Act".