We are seeking a seasoned Medical Biller, Billing & Collections Clerk for a very prestigious Ophthalmology practice in Rochester, NY.

This is a FT Temp to Hire opportunity with excellent benefits. Immediate hire.

For consideration and interview please apply today.

Job Summary: Responsible for all insurance claims preparation and filing (paper and electronic claims transmission), insurance aging reports, and prior approvals, as well as review and follow-up on all incorrect payment amounts or denials. Position is also responsible for follow up and collection on all past due patient accounts.

Education and Experience:

1. High school diploma or equivalent.

2. Two years’ minimum experience in medical office, insurance experience preferred.

Essential Skills and Abilities:

1. Excellent communication skills, written and oral.

2. Strong organization skills.

3. Well-organized with attention to detail.

4. Excellent follow-up skills.

5. Ability to manage multiple tasks simultaneously.

6. Ability to work as a team player.

RESPONSIBILITIES:

1. Claims: Preparation and Filing

· Print paper claims daily.

· Signature stamp paper claims, as needed.

· Attach EOBs, reports, or original claim forms, as needed.

· Stuff and mail claim forms.

· Send any additional information requested.

· Download checks from auto post daily (Medicare, Blue Shield, MVP, UHC)

· File claim adjustment forms for all corrected claims

· Review newsletters from insurance companies for updates

· Ensure injection authorizations are in system are attached to claims

· Resubmission of unpaid claims

· Answer incoming calls, patient inquiries

• Inbound Payments from patients and insurance companies
• Process all inbound patient payments

· Process all insurance payments accurately to patient accounts

· Balance daily deposit to deposit slip before taking to bank

3. Banking

· Make daily deposits

· Attach deposit slips to day sheets

· Ensure day sheets match deposits

4. Collections

Daily

· Use worksheets to check accounts in the system and make determination as to what work needs to be done on each claim.

· Make telephone calls to patients and/or insurance carriers necessary to work the accounts.

· Send letters to patients. A series of form letters have been created in order to save time, but each letter is to be individualized to the circumstances.

· Answer incoming calls from patients and insurance carriers and discuss activity on the accounts.

· Change address in the system on returned mail and resend. Make every attempt to find address through telephone calls to patients, employers, etc., always keeping in mind the patient’s privacy.

· Print day sheet and settlement report from billing department credit cards and make sure reports balance.

Weekly

· Refer adjustments to the billing manager in order to make the necessary write-offs and refunds.

· Discuss the accounts aging analysis report with the billing manager and make determination as to the workload for the following week

· Review and send out patient statements.

Monthly

· When the accounts aging analysis report is run, mark the accounts with balances over 30 days. Accounts with balances over 30 days and over $500 are priority. These accounts are put on a worksheet and worked immediately. All other balances over 30 days are worked after the priority accounts have been handled.

5. Pursuit

· Insurance aging reports are compiled and reviewed weekly.

· All insurance accounts referred from billing manager are re-filed or called.

· Incorrect payment amounts or denials are filed for review.

6. Other

· Assist front office personnel, as time and demand require.

· Update provider/referring doctor information in computer

· Assist with verifying and posting charges to insurance when needed

· Assist with transmitting claims when needed

· Assist with eligibility verification when needed

· Verify and collect surgery copays prior to surgery

· Post Retina and Surgery charges

· Perform other duties as required.

Job Type: Full-time

Pay: $18.00 - $25.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee discount
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Work setting:

• Ambulatory surgery center
• Clinic
• Medical office
• Office
• Private practice

Education:

• High school or equivalent (Required)

Experience:

• Medical billing: 1 year (Preferred)
• Medical Collections: 1 year (Preferred)

Shift availability:

• Day Shift (Preferred)

Ability to Commute:

• Rochester, NY 14620 (Preferred)

Ability to Relocate:

• Rochester, NY 14620: Relocate before starting work (Required)

Work Location: In person