Full Job Description Job Title:

Medical Billing Generalist (In Office

Not remote) General summary of duties : A medical billing generalist is responsible to work on patient accounts to verify insurance, audit accounts, collect outstanding balances, primarily from patients.

This includes calling and emailing patients for open aging patient balances. This can include preparing, submitting and following up on medical claims to insurance companies when needed. Responsilbities is to generate revenue by collecting, monitoring and pursuing delinquent accounts from patient and insurance companies.

Position reports to:

Office Supervisor/Billing Supervisor Job qualifications:

Education/training:

High school diploma, billing/coder courses, or certified coder. Fully vaccinated for

COVID-19

required with proof of vaccination at time of employment.

Experience:

Two (2) years of experience in the field or in a related area

Skills:

Ability to communicate and deal effectively with patients and providers, under a fast-paced environment. Able to be a self-starter and work many accounts throughly in a day.

Duties and responsibilities:

Ability to answer billing questions for patients in person, via phone and email
Liaison between patient and insurance companies
Obtain and update demographic and insurance information
Collect copay and deductibles
Set up prompt payment agreements
Submission of diligent accounts to the third-party collection agency
Knowledge of medical terminology as it applies to billing
Knowledge of how HMO/PPO plans
Knowledge of how to verify Insurance and benefits
Review and transmit claims electronically
Use of insurance company provider portals for claim eligibility and claim inquiries
Follow up with Insurance payers for unpaid/denied claims
Post insurance payments as needed
Knowledge of CPT and ICD-10 coding
Verifying and posting daily charges
Knowledge of HIPPA
Relies on instructions and pre-established guidelines to perform the functions of the job
Knowledge of commonly-used concepts, practices, and procedures within medical field
Could include occasional receptionist coverage for lunches or other times
other duties as assigned and as needed Work environment: The work of this position is performed in an environmentally controlled office environment.

The position requires the ability to work under pressure and with a diverse population, including staff, clients, patients, insurance companies, and other members of the public on a regular basis. The position may cause frequent exposure to communicable diseases, bodily fluids, toxic substances, and other conditions common to a clinical environment. Busy Pediatric Practice seeking a hardworking and dependable individual. Applicants should be energetic, focused, articulate, professional, computer savvy, and able to handle a fast-paced environment and multi-task. Must have excellent verbal and written communication skills. Responsibilities can include management of multi-line phone systems, appointment scheduling, and message taking. EMR experience a must, eCW preferred. Fully vaccinated for

COVID-19

required with proof of vaccination at time of employment. Prior multi-physician practice experience is desirable. Not a remote or hybrid position

Pay:

Up to $22.00 per hour

Benefits:

Paid time off

Experience:

ICD-10: 2 years (Required) Ability to

Relocate:

Scarsdale, NY 10583: Relocate before starting work (Required)

Work Location:

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