What are the responsibilities and job description for the Office Biller position at Michigan Orthopaedic Surgeons PLLC?
Who We Are
As the largest and most comprehensive orthopaedic team in the state, we’ve combined the medical expertise of the state’s finest orthopaedic and musculoskeletal surgeons, specialists, and research pioneers. And along the continuum of care, every provider we work with feels a compelling commitment to leadership in education, innovation and research, as well as a dedication and desire to put each patient first.
Why Join Us?
Interested in orthopaedics? See why it’s worth it. Our career opportunities come with competitive salaries, outstanding benefits and a platform to do the work you love. And as the largest and most comprehensive orthopaedic team in Michigan, we’re looking for skilled and enthusiastic individuals to apply today.
Position Summary
The Office Biller is responsible for the accurate billing and collection of claims for services rendered by all healthcare providers. This role requires a strong commitment to maintaining patient confidentiality and adherence to HIPAA and other legal guidelines throughout the billing and collections process. The Office Biller will ensure timely submission of claims, follow up on outstanding payments, and resolve any billing discrepancies, contributing to the efficient operation of the office and supporting the financial health of the organization.
Duties and Responsibilities
- Reviews the charges, CPT coding, and ICD-10 coding in the electronic chart and compares charges to documentation when necessary.
- Reviews and corrects front-end edits, criteria for medical necessity, and a variety of other problems in order to get clean claims filed in a timely manner.
- Participates in educational activities to be aware of coding changes.
- Corrects errors discovered in the patient account, demographics, and insurance policy numbers.
- Efficiently uses the online features offered by insurance companies or such services as Availity.com.
- Complies with frequent password change requests by the online services.
- Performs other duties as assigned.
Knowledge, Skills, and Abilities
- Demonstrates the ability to prioritize tasks and meet productivity standards.
- Maintains a courteous and professional demeanor in dealing with others.
- Communicates problem trends to supervisor in a timely manner and actively seeks solutions.
- Demonstrates knowledge of the Health Insurance Portability and Accountability Act (HIPAA).
- Demonstrates knowledge of MOS personnel and office policies.
- Maintains patient confidentiality.
Education, Experience, Licenses, and Certifications
- High school diploma or general education degree (GED).
- Medical office experience required
- Billing experience preferred
Our company participates in E-Verify to confirm the employment eligibility of all newly hired employees, as required by federal law.