What are the responsibilities and job description for the Full Cycle Biller – Chiropractic and Physical Therapy position at Advanced Spine and Pain?
JOB TITLE: Full Cycle Biller – Chiropractic and Physical Therapy
FLSA STATUS (Exempt/Non-Exempt): Non-Exempt
SUPERVISION RECEIVED: Reports to Billing Manager
SUPERVISION EXERCISED: NONE
GENERAL STATEMENT OF DUTIES
Full Cycle Biller - Chiropractic and Physical Therapy supports the billing department by assisting with managing incoming and outgoing charges and payments while verifying and ensuring accuracy and completeness for a complete billing cycle. Along with managing the overall Chiro Club Membership programs
ESSENTIAL FUNCTIONS
- Demonstrates the ability to understand the use of ICD.10, CPT, & HCPCS coding 70% principals as well as payer guidelines related to physical therapy services. Assisting with managing incoming and outgoing charges and payment with accuracy.
- Assisting with Accounts Receivable and Patient
- Account review and reconciliation, as well as speaking to patients in a timely and professional manner.
- Identifies and reports issues or errors, such as incomplete or missing records and 15% documentation, ambiguous or non-specific documentation, or codes that do not conform to approved coding guidelines, or account reconciliation while utilizing professional communication and documentation skills.
- Demonstrates the ability to self-report daily tasks and assignments as well as identify any 5% billing trends that affect daily productivity.
- Assist with claim rejections and account denials.
- Other duties as assigned.
EDUCATION
- High School Diploma / GED Certification
- Certified from college or Technical School preferred or Enrolled in a Billing or Coding Program
EXPERIENCE
- Two years of experience in lieu of education considered
- Next Gen Office (NGO) and Advanced MD experience preferred
- Experience in Pain Management and Anesthesia preferred
KNOWLEDGE
- Knowledge of CPT, HCPCS, ICD.10 and the ability to follow coding guidelines.
- Knowledge of Medical Terminology
- Billing Experience or Medical Office Experience
- Strong office and computer skills, experience with paperless workflows
- Prior use of practice management and EMR programs
- Basic understanding of Microsoft Office to include Outlook, MS Word, and Excel.
- Understanding of insurance benefits, adjustments, reviews, authorizations.
SKILLS
- Displays strong organizational skills with the ability to prioritize, multi-task, detail oriented
- Skilled communicator and ability to work effectively in resolving problems
- Solid organizational skills
- Exceptional attention to detail.
- Work independently while maintaining a positive attitude
ABILITIES
- Ability to understand insurance payer guidelines.
- Ability to prioritize and solve problems in a timely manner.
- Ability to communicate effectively and professionally with insurance carriers and outside entities.
- Ability to interact with management, physicians, and teammates at all levels and effectively.
- Ability to communicate with teammates and management both in oral and written form.
- Ability to be able to meet deadlines in a fast-paced, quickly changing environment.
- Ability to act as gatekeeper and escalate relevant information to executives as needed.
- Ability to treat confidential information with appropriate discretion.
ENVIRONMENTAL WORKING CONDITIONS
- Normal office environment.
PHYSICAL/MENTAL DEMANDS
- Good visual acuity, accurate color vision.
- Requires sitting and standing associated with a normal office environment.
