What are the responsibilities and job description for the Medical Biller position at City of Mesa?
A Medical Biller performs paraprofessional work involving ambulance billing, accounting, and collection processes. Responsibilities include: verifying patients’ personal information (example: address, demographics, and insurance information); confirming insurance eligibility; requesting authorization; reviewing type of procedures performed such as basic or advanced life support, and entering diagnostic and procedure codes; reviewing supply usage for medical care and number of miles driven for transportation; entering data and converting information into an electronic patient care report (ePCR); processing and posting payments, adjustments, contractual allowances, and denials; running payment reports; monitoring account payment statuses; rebilling delinquent claims when needed; responding to internal inquiries regarding ambulance billing, accounts receivable, and collections; reviewing and analyzing metrics; generating and submitting paper and electronic claims to insurance companies; sending notices of privacy practices to patients; interpreting and applying covered and uncovered procedures, patients’ deductibles, co-pays, or co-insurances from insurance companies; and performing complex claim corrections, appeals, and follow up with payers and patients. Additional duties include: responding to inquiries from patients, hospitals, and insurance payers regarding transport claims; setting up payment plans; reviewing hardship requests; explaining and educating patients on the billing process; may enter data and run reports in the Financial system (FIN); and assisting management with streamlining processes, procedures, and policy development. This class is also responsible for performing related duties as required.
An employee of this class is expected to routinely communicate with patients, families, hospitals, insurance companies, partner agencies, Paramedics, and Emergency Medical Technicians (EMT). Supervision is received from the Medical Billing Supervisor with work evaluated through reports, conferences, and results achieved. This class is FLSA nonexempt.
Please refer to the link below for the full job description and additional information regarding assignments, preferred qualifications, and essential functions.
Employee Values: All employees of the City of Mesa are expected to uphold and exhibit the City's shared employee values of Knowledge, Respect, and Integrity.
Minimum Qualifications Required. Any combination of training, education, and experience equivalent to graduation from an accredited college or university with an Associate's Degree in Accounting, Finance, or closely related field. Two years of experience in medical or ambulance billing and medical coding.
Special Requirement. Must not be on the Office of Inspector General (OIG) list of Excluded Individuals/Entities (LEIE).
Preferred/Desirable Qualifications. Experience with Medicare/Medicaid regulations and laws. Experience with ICD (International Statistical Classification of Diseases and Related Health Medical Biller Problems) coding. Certified Ambulance Coder Certification and/or National Ambulance Association Coder Certification is highly desirable.
http://apps.mesaaz.gov/jobdescriptions/Documents/JobDescriptions/cs4309.pdfSalary : $52,926 - $72,855
