Medical Biller
Description
Come grow with us. Yeo & Yeo Medical Billing & Consulting was established in 1998 as an affiliate of Yeo & Yeo to provide clients with medical billing and additional practice management solutions. We have devoted ourselves to helping clients maximize their reimbursement and assist in educating them with the ever-changing rules and guidelines of Medicare and other insurance carriers as well as CPT, HCPCS and ICD-10 coding.
Yeo & Yeo Medical Billing & Consulting maintains a highly trained staff with experience in all areas of physician billing. Several Certified Professional Coders on staff assist in choosing proper diagnostic codes and procedure codes. Our billing specialists receive ongoing training specific to medical specialty. We continually train our staff by updating and maintaining their knowledge of insurance carrier trends and changes in billing rules and policies.
Our people are our future – we provide the venue for individuals who have the desire and drive to grow as leaders in the accounting industry. Career paths are not do-it-yourself at MBC. You will be equipped with career development and advocacy experiences, career ladder choices, support in advancing to leadership positions, and a successful integration of your personal and professional life.
Applying today makes you one step closer to joining a firm of enthusiastic, driven, creative and intelligent problem solvers working together toward a common goal – to provide outstanding business solutions.
Position Summary
The Medical Biller will perform a wide variety of duties in the medical billing office. The candidate will use a system of coding to categorize patients and their ailments for the purpose of billing, record keeping, archiving and cataloging. Medical Billers are also responsible for acting as a communication link between clients and patients. The candidate will possess excellent communication and customer service skills while striving to maintain an efficient and productive office.
Key Objectives
- Review patient bills for accuracy and completeness and obtain any missing information
- Prepare, review, and transmit claims using billing software, including electronic and paper claim processing.
- Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid
- Follow up on unpaid claims within standard billing cycle timeframe
- Check each insurance payment for accuracy and compliance with contract discount
- Call insurance companies regarding any discrepancy in payments if necessary
- Identify and bill secondary or tertiary insurances
- All accounts are to be reviewed for insurance or patient follow-up
- Research and appeal denied claims.
- Answer all patient or insurance telephone inquiries pertaining to assigned accounts.
- Set up patient payment plans and work collection accounts
- Update billing software with rate changes.
- Updates cash spreadsheet, runs collection reports.
- Ensure clients are assisted in a courteous and expedient manner
- Meet and exceed goals set forth through the annual performance evaluation process
- Growing use and knowledge of applicable company technology, paperless systems, tools and processes
Qualifications
- Associates Degree, Business Administration or equivalent; or the combination of education and work experience that enables the performance of all aspects of the position is required
- Certification in Medical Billing and Coding
- Knowledge of HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
- Use of computer systems, software, 10 key calculator
- Ability to code conditions and procedures using ICD-10-CM and CPT
- 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.
- Able to work in a team environment.
- Problem-solving skills to research and resolve discrepancies, denials, appeals, collections.
- Knowledge of accounting and bookkeeping procedures.
- Knowledge of medical terminology likely to be encountered in medical claims.
Preferred Abilities
- Communicate effectively in highly visible and/or adversarial situations
- Actively pursue learning and development opportunities
- Participate actively in all on-the-job and formal learning and development opportunities to understand role and responsibilities
- Ability to accept and adjust to changing priorities and circumstances
Leadership
- Reports to direct supervisor
- Take charge and be action-oriented and persist until the task or job is completed
- Learn and understand how position is critical to the success of the organization and be willing to accept responsibility and be accountable for own actions
Technology
- Experience with Microsoft Office
- Medical Billing workflow software
- Understand and stay current on new technology