What are the responsibilities and job description for the Medical Biller position at Surgeons Choice Medical Center?
Medical Biller
Full Time – 8:30A-4:30P
WHO WE ARE:
In 2004, in an ambitious push to bring hospitality back to the hospital, a small group of top Metro-Detroit surgeons decided to create their own surgical hospital; one that provided patients with the best possible care in a small, easy-to-manage environment that truly embraces the best patient experience. Our highly skilled surgeons and staff play a key role in our success rates and becoming the premier center of choice with 30 surgical beds and 6 operating rooms.
Surgeons Choice Medical Center has an exciting opportunity for a Medical Biller in our Billing Department. An ideal candidate has a passion to serve people to improve their quality of life and empower them on their health journey.
Responsibilities:
Under general supervision of the Director of Revenue Cycle Management, maintains and ensures that all insurances are validated and authorizations a acquired prior to claim submission to all payers. Uses standardized medical coding systems to transform patient symptoms, treatments, and diagnostic tests into codes. Assigns codes, submits claims, tracks payments, follows up with patients and insurance companies to ensure cash flow for the organization. Creates visits and claims for timely submission to all payer guidelines and uploads corresponding documents to the patients file. Any other related data entry assigned by the Director of Revenue Cycle Management as needed.
Qualifications/Position Requirements:
- Education/Experience
- High School Diploma / GED required.
- Some hospital billing clerk or data entry experience required.
- Experienced with computers and/or medical software preferred.
- Surgical billing experience required.
- Licensure/Certification
- Certified Medical Biller Certificate is a plus, but not a requirement
- Knowledge, Skills and Abilities
- Individual must have knowledge of UB04 and CMS 1500 claim forms.
- Knowledge of CPT, HCPCS, and ICD-10 coding required.
- Prior knowledge of medical billing software required.
- Excellent typing/keyboard skills and data entry required.
Duties and Responsibilities:
- Under the general supervision of the billing manager/director, the billing clerk is responsible for data entry of reference lab accounts and claim creation, ensuring timely cash flow for the hospital.
- Update as needed any patient demographic and insurance information related to the process of clean claim submissions.
- Locate the patients consent form in e-mail sent with patient list.
- Create a new hospital visit for this date of service.
- Add provider, date of service, correct insurance and any other necessary patient data.
- Check the patient in and then discharge for correct date of service.
- Enter charge codes from the Infiniti log.
- Review entered information and click “done with chart review”.
- Enter provided diagnosis code under Medical Codes.
- Create claim for reference lab patient.
- Save paperwork from e-mails into Athena under patients account making sure to label each entry.
- Maintains and ensures that all nonbillable procedure codes are sent to the coder for correction prior to claim submission to all payers
- Maintain HIPPA and other lawful practices at all times.
- Makes sure their workloads are shifted and covered when a taking scheduled time so the claims still go out during the absence.
- Brings any issues delaying claim creation to the Director Revenue Cycle and Finance.
- Performs all other duties as assigned.
Perks for our staff:
● Competitive hourly pay
● NO WEEKENDS, HOLIDAYS OR ON-CALL!
● Health Safety Measures in place for everyone
● A diverse & inclusive workforce that embraces communication, caring and courtesy.
● Positive Onboarding Experience
● Health Insurance plans effective 1st of the month following 30 days.
● Company-paid Life Insurance
● Supplemental Life and Disability insurance plans
● Generous PTO accrual at start of employment.
● Tuition Reimbursement & Continuing Education opportunities
● 401k with company match
● Company Events
● Community Discounts
● And more!
