Reference #: R7860
Data, ZOLLMED.comMedical Biller I
This position is responsible for validating and entering patient and insurance information into proprietary billing software. The ideal candidate will be well-versed in billing guidelines, insurance guidelines, and responding to patient and insurance inquiries. The medical biller will also be responsible for maintaining patient confidentiality and accurately inputting patient data.Responsibilities Include:
Ensure patient demographic information is accurate and complete
Utilize customer hospital systems or approved vendors to research and obtain/verify patient demographic information
Validate signature documents such as AOB (Assignment of Benefits), consents, CMN (Certificate of Medical Necessity)
Verify patient name is consistent on all documents Verify date of service, loaded miles, locations in software align with dispatch/clinical documentation
Verify insurance eligibility and follow coordination of benefits guidelines
Research new payor information and follow new payor request process
Request missing patient information from facility or by contacting patient or legal representative
Request retro-authorization and follow up with payors Upload documents into software applicable to patient chart
Follow federal and state billing guidelines Input demographic information to billing software and/or payor portal Initiate paper and electronic claims to payors
Document all actions taken in both clinical and billing software Resolve electronic claim rejections
Follow fair debt collection practices when contacting patients on past due accounts
Review self-pay accounts to determine if all collection efforts have been exhausted
Resolve payor specific validations in billing software prior to claim submission
Process return mail by researching and validating new demographic information and restarting patient statement cycle
Other responsibilities as assignedRequirements:
Prefer one year in medical billing field but not required
Ability to speak confidently to insurance representatives and patients
Experience in billing 1500 and UB04 claim forms Understanding of non-contracted and contracted payer behaviors
Ability to adapt in a fast-paced work environment and ability to change tasks based on priority or direction from management
Knowledge of medical terms
Ability to work independently
Ability to analyze and make informed decisions Maintains professional personal appearance
Ability to interact professionally on all levels
Able to analyze problems and provide feedback to management on strategy for efficient solutions Initiative required to learn company organization and procedures
Adhere to company HIPAA confidentially and privacy compliance policies, business and professional ethics, Employee Handbook, and company/department policies and procedures
Experience using Microsoft Office PDF (formatting and editing in Adobe Acrobat or equivalent)
Position requires HS or GED equivalent Type 45 wpm, 10-key by touch
Ability to operate office equipmentGolden Hour appreciates and values diversity. We are an equal opportunity employer and do not discriminate in hiring or employment on the basis of race, color, religion, national origin, citizenship, gender, gender identity, genetic information, marital status, sexual orientation, age, disability, veteran status, or any other characteristic protected by federal, state, or local law.Other Duties:Please note this job description is not designed to cover or contain a comprehensive listing ofactivities, duties, or responsibilities that are required of the employee for this job. Duties,responsibilities, and activities will be reviewed periodically as duties and responsibilities changewith business necessity. Essential and marginal job functions are subject to modification.
ZOLL Medical Corporation appreciates and values diversity. We are an Equal Opportunity Employer M/F/D/V.
ADA: The employer will make reasonable accommodations in compliance with the Americans with Disabilities Act of 1990.
