What are the responsibilities and job description for the Medical Biller position at John W Acampa, MD?
Overview
We are seeking a detail-oriented and proactive Medical Biller to join our small healthcare office. In this vital role, you will be responsible for managing the billing process for medical services, ensuring accurate and timely submission of claims, and facilitating smooth revenue cycle operations. Your expertise will help optimize reimbursement, improve cash flow, and support the overall financial health of our healthcare facility. The ideal candidate is passionate about accuracy, possesses strong knowledge of medical coding and billing procedures, and thrives in a fast-paced environment committed to excellence.
Duties
- Prepare and submit insurance claims using electronic medical record (EMR) and electronic health record (EHR) systems, ensuring compliance with all coding standards.
- Review patient records to accurately assign Diagnostic-Related Group (DRG), Current Procedural Terminology (CPT) codes, International Classification of Diseases (ICD-9 and ICD-10) codes, and other relevant medical coding.
- Verify insurance coverage, benefits, and patient eligibility prior to billing.
- Follow up on unpaid or denied claims by communicating with insurance companies and patients to resolve discrepancies or obtain additional information.
- Maintain detailed records of billing activities, claim status updates, and payment histories for auditing purposes.
- Collaborate with medical office staff to ensure proper documentation of medical records and treatment details align with billing requirements.
- Stay current with changes in medical coding guidelines, insurance policies, and healthcare regulations to ensure compliance.
Requirements
- Proven experience in medical billing, coding, or related healthcare administrative roles.
- Strong knowledge of DRG classifications, CPT coding, ICD-9/ICD-10 coding systems, and ICD coding standards.
- Familiarity with EMR systems and EHR platforms used for billing and record management.
- Excellent understanding of medical terminology and medical records management.
- Ability to interpret complex insurance policies and facilitate effective communication with insurance providers.
- Detail-oriented with exceptional organizational skills to manage multiple claims efficiently.
- Strong problem-solving skills to address claim denials or discrepancies promptly. Preferred qualifications include experience in medical collection processes, familiarity with healthcare compliance standards, and prior work in a busy medical office environment. Join us in delivering exceptional administrative support that empowers healthcare providers to focus on patient care! This position offers a dynamic work environment where your expertise directly impacts the efficiency of our operations while supporting the financial sustainability of our organization.
Pay: $19.00 - $20.00 per hour
Benefits:
- Paid time off
Work Location: In person
Salary : $19 - $20