What are the responsibilities and job description for the Medical Biller position at HEALTH CARE PARTNERS?
POSITION SUMMARY:
The Medical Billing Specialist is responsible for timely, accurate and comprehensive billing of all provider services utilizing appropriate CPT, HCPCS and ICD-10 diagnosis codes. The individual prepares and submits clean claims to Medicare, Medicaid, Commercial insurance carriers, and Self-Pay patients. The Medical Billing Specialist provides essential support throughout our organization and follows up on submitted claims and patient billing; resubmits claims and/or corrects inaccuracies.
RESPONSIBILITIES:
- Processes billing to patients and third-party insurance companies
- Maintains supporting documentation files and current patient addresses
- Researches and responds by telephone and / or in writing to patient inquiries regarding billing issues and problems
- Monitors submitted claims; follows up on unpaid claims, and initiates dialogue with insurance companies
- Resubmits claims to insurance companies, as necessary
- Answers questions from patients, clerical staff, and insurance companies
- Identifies and resolves patient billing complaints
- Evaluates patient’s financial status and establishes budget payment plans
- Performs various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers
- Follows up with the provider on any documentation issues
- Other duties as assigned
EDUCATION/EXPERIENCE/REQUIREMENTS:
- A high school diploma or GED required
- Minimum of two (2) years of medical billing experience in a primary care setting required
- Expert knowledge in health information practices, concepts, and legal requirements required
- FQHC billing experience preferred
KNOWLEDGE, SKILLS, AND ABILITIES:
- Excellent customer service skills
- Ability to establish and maintain effective working relationships with patients, staff, and clinical team
- Ability to work in a fast-paced office setting
- Ability to work independently on assigned tasks, as well as to accept direction on given assignments
- Ability to handle confidential information and/or issues using discretion and judgment
Experience:
- Medical Billing: 2 years (Required)
Ability to Relocate:
- Conway, SC 29526: Relocate before starting work (Required)
Work Location: In person