MEDICAL BILLER AND COLLECTOR JOB SUMMARY

Performs highly technical and specialized functions for Comprehensive Community Health Centers. Responsible for taking the data provided by the medical coders and using it to compile and submit claims to insurance companies and then subsequently bill patients, research, resolve, and collect on all unpaid accounts

MEDICAL BILLER AND COLLECTOR ESSENTIAL DUTIES AND RESPONSIBILITIES

• Use coded data to produce and submit claims to insurance companies
• Verify accuracy of billing data and revise any errors
• Prepare the appropriate claims documents required by each insurer
• Daily posting of a variety of health service charges to patients’ accounts per payer
• Daily closing and balancing of day posted
• Prepare billing and/or rebilling
• Prepare and maintain daily productivity report
• Enter on a timely basis all charges, payments, credits, and adjustments by payer
• Prepare clean claims to various insurance companies either electronically or by paper
• Answer questions from patients, clerical staff and insurance companies
• Identify and resolve patient billing complaints
• Prepare, review and send patient statements
• Maintain strictest confidentiality; adhering to all HIPAA guidelines/regulations
• Maintain work operations by following policies and procedures; reporting compliance issues
• Collect delinquent accounts by establishing payment arrangements with patients and also follow up with patients when payment lapses occur
• Provide customer service regarding collection issues
• Process customer refunds and review account adjustments
• Resolve client discrepancies and short payments
• Updates accounts receivable system with denial and group information
• Review and appeal unpaid claims
• Manage the Accounts Receivable reports
• All other assignments as directed by the Billing Manger/Supervisor

MEDICAL BILLER AND COLLECTOR EDUCATION, TRAINING AND EXPERIENCE REQUIREMENTS

• High school diploma or general education degree (GED) with the one year experience in handling billing and account receivables in a similar set up or related field
• Knowledge of medical/dental terminology and billing practices
• Knowledge of business office procedures

KNOWLEDGE, SKILLS AND ABILITIES

• Must be knowledgeable of the fiscal requirements, policies and procedures of federal and state programs
• Ability to write routine reports and correspondence
• Ability to read, analyze and interpret the most complex documents
• Ability to respond effectively to the most sensitive inquiries or complaints
• Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization
• Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.
• Ability to deal with problems involving several concrete variables in standardized situations
• Ability to interpret a variety of instructions furnished in written, oral, diagram or schedule form
• Ability to work under pressure
• Must be able to multi-task and prioritize needs in order to meet timelines
• Must be well organized and detail-oriented
• Requires knowledge of the business use of computer hardware and software to ensure the effectiveness and quality of the processing and presentation of data
• Ability to find solutions when barriers are identified.
• Strong documentation skills.
• Ability to multi-task and prioritize when needed.
• Ability to independently seek out resources and work collaboratively.
• Ability to read, understand and follow oral and written instructions.
• Experience and work ethics that supports working within a high functioning, team-oriented environment.
• Demonstrates a willingness and ability to work under supervision.
• Ability to develop and maintain good working relationships with staff.
• Ability to use computer and learn new software programs.
• Excellent interpersonal skills reflecting clarity and diplomacy and the ability to communicate accurately and effectively with all levels of staff and management.
• Demonstrates ability to work in a regulatory climate that includes oversight of state and federal entities, payer contracts etc.
• Possesses ability to communicate effectively, both verbally and in writing.
• Possesses genuine respect for others and acceptance of their individual social and cultural traits.
• Proficient knowledge of Microsoft Outlook.
• Able to travel and attend professional meetings, conferences, trainings and clinic sites.
• Demonstrate flexibility, enthusiasm, and willingness to cooperate while working with others in multi-disciplinary teams.
• Performs other related duties as assigned.

MEDICAL BILLER AND COLLECTOR PAY RATE: $23-$27/hr

MEDICAL BILLER AND COLLECTOR BENEFITS:

• Medical, Dental and Vision – 100% paid by Employer
• Life Insurance and Accidental Dismemberment – 100% paid by Employer
• Paid Holidays
• Paid Time Off
• 401(k) and 401(k) matching
• Flexible Spending Account
• Fringe
• Supplemental Insurance
• Wellness Day Off