Medical Biller

Summary: Individual will have knowledge of standard office procedures and practices. Medical insurance background and medical insurance validation tools experience. A thorough knowledge of insurance billing and collections. This individual will be able to prioritize a variety of tasks and projects. Maintain accuracy and attention to detail. This individual’s standard of performance affects the revenue of the Center.

Essential/Primary Responsibilities:

• Verifies insurance benefits and claims address on all accounts.
• Prioritizes work according to payer requirements and deadlines.
• Works closely with the Business Office Manager and other personnel to ensure that all information is shared and procedures are followed to ensure proper patient identification and insurance validation thereof.
• Verifies procedures on scheduled accounts to ensure completeness and accuracy of information, to obtain pre-verification/authorization for services and to clearly and concisely document all information on patient’s account.
• Retains knowledge and abides by all regulatory requirements pertaining to duties of position and overall operation of the ASC.
• Exhibits teamwork and excellent customer service skills, without exception, at all times.
• Must have the ability to communicate in a positive, professional manner when communicating with patients, family, and co-workers.
• Must exhibit flexibility and adaptability to meet needs of the customers.
• Retains competency in registration functions to include insurance input and regulatory requirements.
• Reviews insurance claims that are billed daily for accuracy.
• Calculates and establish daily deposits from Accounts Receivables.
• Communicates any billing discrepancies to the Business Office Manager.
• Extensive knowledge of third party billing required. Familiarity of CPT/ICD10 coding.
• Meets established performance goals.
• Respects confidentiality and patient safety.
• Processes requests for rebills.
• Processes requests for itemized bills.
• Processes patient refunds.
• Performs follow-up on patient collections and payment arrangements as outlined by the Center’s billing procedures.

Additional Responsibilities:

• Recognizes trend issues and reports them to the Business Office Manager.
• Performs other functions assigned by the Business Office Manager.
• Adheres to the Physicians’ Surgery Center Lancaster General’s policies and procedures.
• Responsibilities may include, but are not limited to, all of the above mentioned.
• Deals with people in a manner which shows sensitivity, tact, and professionalism.

Working Conditions and Physical Environment:

• Sedentary position with minimal lifting.

Skills and Experience:

• Computer/typing skills.
• Possess an understanding of insurance company coverage, payment guidelines and pre-certification/authorization requirements.
• Posses an understanding and knowledge of electronic validation tools (Navinet, Clearinghouse, Payor websites).
• Relevant medical experience.
• Ability to use discretion in handling PHI (protected health information).

Knowledge, Education and Experience:

High School diploma or equivalent (GED)

Minimum two years of medical billing experience, preferably in a multi-specialty ambulatory surgery center.

Job Type: Full-time on-site

Job Type: Full-time

Pay: From $20.00 per hour

Benefits:

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

Ability to Commute:

• Lancaster, PA (Required)

Ability to Relocate:

• Lancaster, PA: Relocate before starting work (Required)

Work Location: In person

Salary : $20