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Administrative
Medical Biller
Woodbury, NY
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The Center for Allergy Asthma and Immunology is seeking a Proficient Medical Collector. This is a dynamic growing practice with ample opportunity to grow. The following is a list of skill and knowledge which a biller would be required to have in order to be considered for this position. Reviewing patient bills for accuracy and completeness, and obtaining any missing information. Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing. Following up on unpaid claims within standard billing cycle timeframe. Checking each insurance payment for accuracy and compliance with contract discount. Calling insurance companies regarding any discrepancy in payments if necessary Identifying and billing secondary or tertiary insurances. Reviewing accounts for insurance of patient follow-up. Researching and appealing denied claims. Answering all patient or insurance telephone inquiries pertaining to assigned accounts. Setting up patient payment plans and work collection accounts. Updating billing software with rate changes. Updating cash spreadsheets, and running collection reports.
Basic and minimal requirements include:
A Certification in medical administration/Billing Knowledge of business and accounting processes usually obtained from an associate's degree, with a degree in Business Administration, Accounting, or Health Care Administration preferred. A minimum of one to three years of experience in a medical office setting. Knowledge, Skills, and Abilities You must demonstrate knowledge, skills, and abilities in a number of areas. Proficiency in the following areas is preferred: Knowledge of insurance guidelines including HMO/PPO,Medicare,Medicaid, and other payer requirements and systems. Competent use of computer systems, software, and 10 key calculators. Familiarity with CPT and ICD-10 Coding. Effective communication abilities for phone contacts with insurance payers to resolve issues. Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds. Ability to work well in a team environment. Being able to triage priorities, delegate tasks if needed, and handle conflict in a reasonable fashion. Problem-solving skills to research and resolve discrepancies, denials, appeals, collections. A calm manner and patience working with either patients or insurers during this process. Knowledge of accounting and bookkeeping procedures. Knowledge of medical terminology likely to be encountered in medical claims. Maintaining patient confidentiality as per theHealth Insurance Portability and Accountability Act of 1996 (HIPAA). Ability to multitask.
Job Type:
Full-time Pay:
$55,000.00 - $60,000.00 per year
Benefits:
401(k) Dental insurance Employee discount Health insurance Paid time off Vision insurance
Experience:
Customer service: 2 years (Required)
Medicare:
2 years (Required) Medical terminology: 5 years (Required) ICD-10: 2 years (Required)