Position Overview:

Responsible for collecting, posting, and managing account payments. Responsible for submitting claims and following up with insurance companies.

Essential Job 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 the status of delinquent accounts.
• Reviews accounts for possible assignment and make recommendations to the Director of Billing and Reimbursement, also prepares information for the collection agency
• Performs daily backups on the office computer system.
• Performs various collection actions including contacting patients by phone, correcting, and resubmitting claims to third-party payers.
• Processes payments from insurance companies and prepares a daily deposit.
• Participates in educational activities and attends monthly staff meetings.
• Conducts self in accordance with employee handbook.
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
• Ensures accurate billing and coding as per regulations.
• Works with administrator in training providers in coding and EMR system.

Benefits:

• PTO and Paid Holidays
• No nights or weekends!
• Optional Medical, dental and vision plans
• 401(k) retirement plan
• Company-paid life insurance with/AD&D benefit
• Company-paid long-term disability plan
• Optional life insurance and short-term disability plan
• Optional Critical Illness Plan
• Optional Accident Insurance Plan

Other Skills/Abilities

• Ability to maintain confidentiality
• Present a positive and professional attitude
• Planning and organizational skills
• Proficient in Microsoft Office (Word, Excel, Outlook, Publisher)
• Ability to identify problems and to propose feasible solutions
• Ability to maintain accurate records
• Ability to enter and maintain data in various company software programs
• Knowledge of company’s policies and procedures
• Knowledge of modern office equipment, troubleshooting, practices, and procedures
• Interpersonal/human relations skills
• Proficient telephone skills

Education and Experience:

• Minimum of 2 years experience medical billing (Preferred)
• Certified Biller (Required)
• Certified Coder (Preferred)

Physical Requirements

• Sitting in a normal seated position for extended periods of time
• Reaching by extending hand(s) or arm(s) in any direction
• Finger dexterity required to manipulate objects with fingers rather than with whole hand(s) or arm(s), for example, using a keyboard
• Communication skills using the spoken word
• Ability to see within normal parameters
• Ability to hear within normal range
• Ability to move about

NOTE: This job description is not intended to be all-inclusive. Employee may perform other related duties as negotiated to meet the ongoing needs of the organization. Employee is able to work at any OHO locations deemed necessary by OHO.

Experience

• 2 year(s): Medical Billing

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)