Medical Billing Liaison- PI/Auto/WC Biller- Neurological Surgery

Medical Billing Liaison- PI/Auto/WC Job Description

Duties will include managing all Auto, Attorney and Personal Injury cases, surgeries, AR, denials and correspondence, and Workers Compensation. You will be main point of contact for our Attorneys, Auto Patients, Billing Company and Workers Compensation adjusters and patients.

Overview:

The Billing Liaison will provide strong knowledge of medical office billing and collections and patient care within his/her level of training and functions under the direction/guidance of the Clinical Supervisor, Practice Manager and the Physician in accordance with relevant state statutes.

Essential Functions:

·       Greets patients in courteous and polite manner.

·       Responds professionally to phone calls, emails and faxes in a timely manner.

·       Work to maintain proper flow between front office and billing to ensure a smooth and error free clinic.

·       Assisting the clinic and patients with questions related to insurance coverage and verification of benefits when necessary

·       Educate patients on insurance, co-pays, deductibles and balances.

·       Processing claims, denials, appeals, payments for Auto, Attorney and Personal Injury.

·       Prepare cost letters and patient statements.

·       Collect and manage payments

·       Negotiate fee schedules with Providers, Attorneys and Surgery Centers.

·       Prepare attorney requests for medical records and filing liens on Personal Injury and Auto accident cases.

·       Appeal of unprocessed and/or unpaid claims to the appropriate insurance carrier.

·       Aggressively work to decrease Auto, Attorney and Personal Injury AR.

·       Running, managing and working assigned aged Account Receivable reports

·       Bill all Auto Claims, work denials, appeals.

·       Ensuring claim accuracy.

·       Actively troubleshooting problem accounts in order to obtain reimbursement.

·       Detailed notes documenting status in EMR.

·       Must have knowledge of A/R, CPT and ICD-10 billing, collections, Medicare claims, electronic submissions,

·       Posting patient and insurance payments for auto

·       Handles all Auto related issues and will schedule appointments. Notifies Office Manager of each appointment.

·       Handles all Attorney (non-auto, slip and fall, etc) related correspondence, phone calls and schedule appointments. Notifies Office Manager of each appointment.

·       Handles all communication with Attorney/ Auto regarding surgical patients. Notify Surgery Scheduler when approved for surgery.

·       Fax medical records for all Attorney/Auto or State of Florida.

·       Process all DWC 25 forms from Office Manager for billing and enter all details in AdvancedMD.

·       Collect and manage payments for each individual patient account

·       Prepare patient statements and review those for errors.

·       Discuss billing questions with patients in clinic and/or over the phone.

·       Ensure all assigned codes meet insurance and insurance regulations

·       Takes credit card payments, including over the phone, and documents receipt

·       Contacting insurance carriers via website and phone regarding unpaid claims

·       Serving as a liaison with the patient and insurance company during claim appeal processes

·       Performing other administrative duties and special projects as assigned

·       Discuss payment plans with patients.

·       Billing Liaison will be main point of contact for our Attorneys and Billing Company.

·       Responsible to vet Workers Comp patients, work with adjusters and schedule patients.

·       Answers telephone inquiries and triage calls. Process messages from patients and front office staff to physicians and physician assistants.

·       Enters all requisitions and encounters in the computer.

·       Maintains patient medical records in accordance with JSA policy and maintains proper assembly of medical records.

·       Trains staff in a courteous and professional manner.

·       Extensive knowledge and understanding of regulations relating to Medicare, Medicaid, Commercial Insurance, specifically as they impact physician services.

·       Function in accordance with approved policies, procedures and generally accepted accounting practices to ensure the strategic/financial objectives of the practice are attained.

·       Full knowledge and experience of medical billing processes and the ability to work with insurance companies to collect revenue.

·       Translate patient information into the appropriate alphanumeric codes

·       Maintain the confidentiality of all the patient data and ensure database security

·       Work with EMR to organize data, maintain databases, prepare charts and reports

·       Process the payments received from patients and maintain records.

·       Under direction and supervision of physician, office manager and practice manager.

·       Other duties as assigned.

Qualifications

Education:

·       High school graduate, GED or equivalent

Experience:

·       Required: 

Medical Billing and Coding Certificate OR 2 – 5 years of practical clinical experience.

Knowledge, Skills, and Abilities:

·       Ability to communicate effectively with patients and all levels of personnel in a professional, courteous and effective manner with excellent customer service skills

·       Highly motivated, takes ownership and delivers on commitment.

·       A team player, able to work collaboratively within the group and across division/ functions and as an effective independent member.

·       Must be able to display excellent telephone/switchboard etiquette

·       Ability to multi-task in a high paced environment with good organizational skills

·       Ability to follow written and oral instructions and to work with general guidance

·       Demonstrated clerical skills (typing, filing, telephone courtesy)

·       Ability to document and report findings and observations

·       Knowledge and experience working with EMR’s

·       Knowledge of HIPAA regulations

·       Medical office experience preferred

·       Knowledge of medical coding preferred

·       Ability to read, write, speak and understand the English language fluently

·       Medical billing and coding

Job Type: Full-time