We are looking to hire a Medical Biller for our fast-paced medical clinic with five locations throughout Southern CA. Experienced in a medical office setting and medical billing, preferably orthopedics, physical therapy, acupuncture or chiropractor clinic, and have a basic knowledge of musculoskeletal anatomy. Medical Biller is responsible for the processing of all patient-related billing and the submission of bills for reimbursement from various programs. Must also have excellent customer service, be highly organized and detail oriented, and be a team player.
We are an outpatient private clinic treating orthopedic and sports injuries, pre-and post-operative care, geriatrics, and injury prevention. Services are tailored to meet each patient’s need.
As a Medical Biller, your will:
Provide coding, billing, and collection services daily to ensure accuracy within the EMR system
Post payments from payers to patient’s accounts accurately
Perform billing functions and extensive knowledge in claims generation, charge review, denial management, and appeals processes
Follow up on unpaid charges for PI, WC and health plans
Process and post patient payments
Obtaining referrals and pre-authorizations as required for procedures
Verify insurance eligibility for all patient accounts
Contacting insurance companies daily to resolve outstanding claims issues
Respond to emails in a timely manner and work reports daily
Respond to inquiries from insurance companies, patients and clients
Identify, research and communicate errors and/or missing information regarding patient's insurance, charges, coding, etc. to the corresponding insurance departments, identify and make necessary corrections, and resubmit claims returned on electronic rejection reports
Coordinates the paper/document flow related to billing and patient accounts, correlation of records and registration information and forwarding of specific billing information to third party billing and follow-up
Research and appeal denied claims on an as needed basis
Collection calls and/or correspondence with external clients or patients for payments
Updating payment spreadsheets and follow up on collection
Reviews and runs billing reports, secondary billing, and other assigned reports
Abides by Code of Conduct and HIPAA compliance standards
Performs other duties as assigned
Qualifications/Skills & Knowledge Requirements:
Minimum 2+ years of recent medical insurance billing experience in an automated environment
Strong working knowledge of billing, coding and collection
Strong computer skills a must
Good work ethics
Professional and friendly personality
Ability to cover workflow accurately and efficiently
Proficient in Microsoft Word and Excel
Knowledge of medical terminology
Understanding of CPT, ICD10, and HCPCS codes
Rounded revenue cycle process knowledge (health insurance billing, collection and cast posting functions)
High School Diploma or equivalent required
