The primary function of the Medical Biller is to work all rejected/outstanding claims for all assigned accounts receivable on order to maintain/maximize reimbursement for services provided to patients.

Specific Job Responsibilities:

• Review assigned account receivable reports monthly and follow up any unpaid or denied accounts.
• Medent EMR
• Follow up on all daily correspondence received on a timely basis.
• Verify accuracy of charges using Buffalo Ophthalmology policies and procedures and insurance carrier policies and procedures.
• Verify patient’s insurance information using insurance company portals, phone calls and/or letters to patients and/or insurance carriers and/or their websites.
• Thoroughly research all information needed to complete billing process including charge information from physicians and/or requesting medical records.
• Document all patient accounts with each action taken into appropriate system every thirty days.
• Re-bills accounts once appropriate changes have been made to correct the denied claim and submits corrected electronic or paper claims to the appropriate insurance carrier.
• Reviews EOB's for denial or partial payment information.
• Interacts with insurance companies to resolve issues delaying the collections of accounts.
• Researches any unpaid balances and resolves payment on denied or partial paid claims.
• Ensures accurate entry of all work into all systems.
• Receives and responds to patient and office calls regarding patient accounts on a timely basis.
• Responsible to keep up to date with current insurance billing requirements and changes by reading payer newsletters and other publications.

TEAMWORK

• Consistently works in a positive and cooperative manner with fellow team members.
• Assists other team members in the performance of their assignments.
• Seeks out opportunities to assist rather than waiting to be asked.
• Considers the impact of your actions on team members throughout the organization.

PROBLEM SOLVING

• Demonstrates sound judgment by taking appropriate actions regarding questionable finding or concerns.
• Investigates and follows through on unusual orders or request for service or information.
• Follows proper reporting procedures for actual or potential accidents and/or incidents so follow-up and/or prevention can occur.
• Reports the need for service maintenance or repair of equipment and remove any faulty equipment from service.
• Consistently evaluates work and determines if further steps are needed to meet patient expectations.
• Ensures compliance with regulatory standards.

Job Type: Full-time

Pay: $19.00 - $23.00 per hour

Benefits:

• 401(k) matching
• Flexible schedule
• Health insurance
• Paid time off

Schedule:

• 8 hour shift
• Monday to Friday

Experience:

• CPT coding: 3 years (Preferred)
• ICD-10: 3 years (Preferred)
• EMR systems: 3 years (Preferred)

Work Location: In person