What are the responsibilities and job description for the Biller position at Med-Metrix?
Job Purpose
The Biller is responsible for WCNF EDI charge capture and claim submission.
Duties & Responsibilities
The Biller is responsible for WCNF EDI charge capture and claim submission.
Duties & Responsibilities
- Review referrals to ensure that all charges for each date of service have been captured
- Complete charge corrections into billing system based off office documentation
- Meet and maintain daily productivity and quality standards established in departmental policies
- Adhere to the policies and procedures established for the client/team
- Verify and ensure that patient demographics are properly entered in the host system, correcting errors when necessary and verifying that proper authorizations are entered
- Analyze, identify and resolve issues which may be causing payer payment delays
- Maintain confidentiality and a professional attitude at all times
- Other duties as assigned
- Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
- Understand and comply with Information Security and HIPAA policies and procedures at all times
- Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties
- High school diploma or equivalent required
- Previous experience in Hospital/Facility or Physician billing: preferred
- Experience with EPIC preferred
- Basic knowledge of healthcare claims submissions and processing including
- Knowledge of various types of insurance plans, CPT, ICD-10, billing guidelines
- Proficiency in Microsoft Office Suite
- Strong interpersonal skills, ability to communicate well at all levels of the organization
- Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
- High level of integrity and dependability with a strong sense of urgency and results oriented
- Excellent written and verbal communication skills required
- Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes
- Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear
- Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress
- Work Environment: The noise level in the work environment is usually minimal