Medical Biller

Transend MSO, Inc. provides administrative support to New Oakland Family Centers who offers top-tier psychiatric care, therapeutic counseling, and educational services to individuals and families. We are committed to providing consistent, compassionate support, responding to each person's needs, and treating everyone with the highest level of respect through active engagement in our communities.

Position Details

Schedule: Monday-Friday 8:00 am – 4:30 pm or another full-time equivalent as determined by Director or Supervisor

Reports to: Director of Finance / Billing Supervisor / Senior Billing Specialist

Compensation: Hourly Employee. Commensurate with experience.

Position Summary

The Medical Biller plays a vital role in supporting the financial and administrative functions of the organization. This position involves managing patient accounts, utilizing the EMR system to process and generate statements, posting payments, providing explanations of benefits, and collaborating with various departments to ensure accurate billing practices, efficient account management, and smooth office operations.

Key Responsibilities

• Post consumer and insurance payments accurately from both electronic files and paper sources.
• Review and follow up on rejected, unpaid, or incorrectly processed claims to support timely resolution.
• Record denial codes accurately and communicates claim denials to appropriate staff for follow-up and resolution.
• Process secondary claims through both electronic and paper submission methods.
• Review, analyze, and process Explanations of Benefits (EOBs) to ensure accurate account handling.
• Collaborate with clinical staff and the Insurance Follow-Up team to identify, communicate, and resolve billing issues efficiently.
• Verifies insurance coverage and benefits, including applicable co-payment requirements.
• Provide updates on billing activities, outstanding issues, and progress to the Director of Finance, Billing Supervisor, Senior Billing Specialist, and other relevant staff.
• Maintain professional boundaries, communicate consistently with staff, participate in team meetings, and adapt to a dynamic work environment.
• Accept feedback, pursue professional growth, stay current with training, and perform additional duties as needed to support clinic operations.
• Perform additional duties as assigned.
  

Working Conditions

• Employees are expected to maintain a professional appearance in alignment with the Employee Handbook and be prepared for active engagement with consumers. 

• This role requires extended periods of remaining in a stationary position during HIPAA-compliant communications and requires the ability to perform physical activities such as bending and reaching. Reasonable accommodations can be provided to enable individuals with disabilities to perform these essential functions as needed.
• The workspace must maintain a quiet and professional environment including minimizing noise and distractions to ensure a safe, confidential and supportive atmosphere for consumers in accordance with professional and ethical standards.
• Proficiency in using computers, phones, and office equipment for documentation and telehealth purposes is necessary. This includes but is not limited to Office 365 and Electronic Medical Record systems.
• The role may require moving within the office or traveling between locations to fulfill job responsibilities. Reasonable accommodation will be considered based on individual needs.

Qualifications

• High school diploma or equivalent required.
• Minimum of one year of experience in behavioral health or medical billing and collections required.
• Knowledge of behavioral health benefits, medical coding, insurance plans, and applicable billing guidelines highly preferred.
• Ability to interpret and analyze Explanations of Benefits (EOBs), Remittance Advices (RAs), and insurance denial codes highly preferred.
• Strong communication and coordination skills, with the ability to work effectively with diverse populations.
• Proficiency in data entry and electronic medical records (EMR) systems preferred.
• Ability to work in a fast-paced environment while maintaining professionalism and customer service focus.
  

Desired Skills

• Strong multitasking abilities, with effective time and project management skills.
• Ability to work collaboratively within a multidisciplinary team.
• Excellent written and verbal communication skills.
• Exceptional attention to detail and accuracy.
• Ability to effectively engage diverse populations, including children, adolescents, and adults.