Riverton, Utah
Medical Biller Job Opening in Riverton, Utah - Gut Whisperer, PC is seeking Medical Billing Account Specialist full-time. We believe in compassionate care and impeccable service. We take pride in treating everyone with kindness, honesty and respect. We are looking for someone in alignment with our values that can support our growing team.
The Medical Billing Account Specialist is expected to have a general knowledge of medical billing procedures including: consistently follow up on unpaid claims utilizing assigned tasks or aging reports, filing appeals when appropriate to obtain maximum reimbursement and establish and maintain strong relationships with providers, clients, patients and fellow staff. Secondary duties include but are not limited to: data entry of all patient demographic, guarantor and insurance information, posting procedures and insurance/patient payments.
Job Description Responsibilities include (but are not limited to):
Knowledge several different coding systems, including CPT, HCPCS and ICD 10.
Handle information about patient treatment, diagnosis, and related procedures to ensure proper coding. Code patient services and enter into computer when necessary.
Prepares and submits clean claims to various insurance companies electronically or by paper.
Working directly with the insurance company, healthcare provider, and patient to get a claim processed and paid.
Follow up to see if a claim is accepted or denied.
Investigate rejected claim to see why denial was issued. Reviewing and appealing unpaid and denied claims
Ensure healthcare provider is reimbursed for all procedures.
Identify and bill secondary or tertiary insurances
Answer incoming calls from patient or insurance companies inquiries pertaining to accounts.
Answers questions from patients, clerical staff and insurance companies.
Identifies and resolves patient billing complaints.
Collects delinquent accounts by establishing payment arrangements with patients; monitoring payments; following up with patients when payment lapses occur.
Evaluates patient?s accounts and establishes budget payment plans.
Review delinquent accounts and call for collection purposes.
Reviews accounts for possible collection agency assignment and makes recommendations to the Billing Director, also prepares information for the collection agency.
Performs various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers.
Participates in educations activates and attends monthly staff meetings.
Qualifications
Conducts self in accordance with the employee manual.
Maintains strictest confidentiality; adheres to al HIPAA
Must be well organized and detail-oriented.
Excellent communication skills; both verbal and written
Ability to accurately document in an EPM / EHR system (NextGen)
Ability to work quickly and efficiently in a fast-paced specialty clinic
Job Type: Full Time
Required experience:
Medical Billing: 1 year
Job Type: Full-time
|
