Medical Billing Account Representative

Description

COME JOIN OUR TEAM

At Empire Management Group, we believe that every employee makes a difference. We look for the highest quality people to work together to deliver the highest quality eye care.

Benefits

• Health insurance
• Dental insurance
• Vision insurance
• Supplemental Insurance Plans
• 401(k) with matching
• Flexible spending account
• Paid time off
• Company Perks
  
  

Postion Summary

We are seeking a highly motivated and detail-oriented Medical Billing Account Representative to join our team. The ideal candidate will have a background in medical billing and coding, as well as excellent communication and organizational skills. This position will be responsible for reviewing, collecting and verifying all information and documentation necessary for timely billing of patient accounts.

Reports To

Billing Manager

Classification

Full-time position, non-exempt

Requirements

List of Duties and Responsibilities:

• Submitting primary, secondary, and tertiary claims to insurance carriers.
• Resolving insurance claim denials.
• Reviewing and monitoring insurance reimbursement for consistency with contracts.
• Processing monthly statement billing for patient balances.
• Posting payments from insurance carriers and patients.
• Applying co-payments, co-insurance, and deductible amounts to patient accounts.
• Responding to physician, patient, and insurance carrier questions and requests for information.
• Evaluating patient demographics for accuracy and completeness.
• Process patient phone payments.
• Monitor and resolve financial discrepancies.
  
  

The medical biller will have direct contact with physician offices, surgery centers, other departments as well as insurance companies and must demonstrate a positive demeanor, good verbal and written skills, and be professional in both appearance and approach. Must demonstrate strong interpersonal skills to ensure cooperation from other departments and be able to handle potentially difficult situations and multiple tasks at one time. Must have a thorough understanding of insurance billing requirements for all federal, state and local agencies and third party submissions. In the event a bill does not pass the automated edits, must determine the required corrective action, and document repetitive errors. Employee must be a positive role model for other staff by working with them to promote team work and cooperation.

Minimum Requirements

• Demonstrate a positive demeanor
• Ability to work independently and as part of a team
• Excellent customer service skills
• Excellent verbal and written communication
• Must demonstrate strong interpersonal skills
• Thorough understanding of insurance billing requirements for all federal, state and local agencies and third party submissions
• Basic knowledge of medical terminology
• Typing, data entry, 10-key, and word processing
• Knowledge of ICD-10 and CPT coding.
• Experience with facility billing and coding
• 3-5 years computerized medical billing or related experience
• Knowledge of Medicare and Medi-Cal reimbursement processes
• Basic knowledge of accounting procedures and computer based accounts receivable systems
• Thorough understanding of HCFA 1500 and UB-04 billing required; basic understanding of coding
• Bilingual in English and Spanish, preferred
  
  

Physical Demands

• Regularly required to sit, stand, walk, speak and hear
• Sufficient hand dexterity to use a computer keyboard and be capable of reading a computer screen
• Occasionally lift and/or move up to 20 pounds
  
  

Empire Management Group, Inc. is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.

Applicants will be required to pass a post offer background check and credit check.