MEDICAL INSURANCE BILLER

Job Title: Medical Insurance Biller

Department: Billing Department

Reports to: Billing Department Manager

Overtime Status: Non Exempt

Job Summary:

The Billing Representative is responsible for processing and submitting authorizations for medical procedures and surgeries done in the office, as well as verifying insurance benefits and patient costs for those procedures and surgeries, answering/triaging phone calls within the Billing Department, processing and posting patient payments and managing the collections of delinquent patient payments and ongoing accounts receivable with insurance carriers.

Primary Job Responsibilities:

MEDICAL INSURANCE CARRIER ACCOUNTS RECEIVABLE

· Review of all unpaid claims, within a timely manner, and determine reason claim is not paid.

· Review denials and process corrected claims

· Ability to communicate with all insurance carriers

· Understand processes, per carrier, for reprocessing of claims, working claim denials and any unpaid claims

· Knowledge of carrier policies and processes

· Knowledge of current CPT coding, Modifiers and ICD10 assignments

· Manage and track worked claims for timely follow up, high volume

· Ability to read EOBs and determine what to do next

AUTHORIZATION OF MEDICAL PROCEDURES

· Process and submit timely authorization requests for medical procedures and surgeries done in the office.

· Contact insurance companies to verify the medical benefits of patients who are scheduled for a procedure or surgery

· Verify the out of pocket cost of patients who are scheduled for a procedure or surgery and notify patient of findings

BILLING DEPARTMENT PHONE CALLS

· Triage Billing Department phone calls to appropriate Billing Department Insurance Representatives

· Process patient payments via the phone and post those payments to the appropriate account/accounts

PATIENT COLLECTIONS

· Manage delinquent patient accounts in a timely manner

· Prepare and submit delinquent patient accounts to outside Collection agency

Education

High School Diploma or equivalent

Experience

Minimum of two years medical insurance billing and collections. Prefer experience in private medical practice or a private health care organization.

Performance Requirements

Knowledge:

· Knowledge of medical terminology, medical billing and coding terminology, EMR functionality, Practice Management functionality

· Knowledge of patient collections rules and regulations

· Overall knowledge of required policies and procedures for private practice health care organization

· Overall knowledge of HIPAA regulations

· Knowledge of Fair Credit Act

Skills:

· Skill in exercising a high degree of initiative, judgment, discretion and decision-making to achieve goals

· Skill in organizing work, and achieving goals

· Skill in written and verbal communication

Equipment Operated:

· Standard office equipment including computers, fax machines, copiers, printers, scanners, telephones among other equipment

Work Environment:

· Remote and medical office, therefore, must be local

· Continual interaction with others

Physical Requirements:

· Must possess the physical and mental abilities to perform the tasks normally associated with a Medical Insurance Billing Representative including: walking, bending, standing, reaching and sitting

Location:

· This job is a hybrid of in office and in home work locations after a minimum of 6 months of training in the office

Salary Range: $22.62 - $25.97

Colorado Springs Dermatology Clinic, PC, will be accepting applications via email to hmilenski@csderm.com

Job Type: Full-time

Pay: $22.62 - $25.97 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Employee discount
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Vision insurance

Work Location: Hybrid remote in Colorado Springs, CO 80910

Salary : $23 - $26