What are the responsibilities and job description for the Senior Medical Biller - Work From Home position at ClinicMind?
ClinicMind is a leading healthcare technology company dedicated to providing comprehensive software solutions to chiropractic clinics. Our mission is to empower clinicians and their teams to deliver superior patient care through innovative and user-friendly technology.
Position Overview
The Senior Medical Biller will be responsible for managing the revenue cycle, ensuring accurate and timely billing processes, and resolving complex billing issues specific to chiropractic practices. This role requires a deep understanding of chiropractic billing procedures, insurance regulations, and proficiency in medical coding.
Key Responsibilities
Must Have
Position Overview
The Senior Medical Biller will be responsible for managing the revenue cycle, ensuring accurate and timely billing processes, and resolving complex billing issues specific to chiropractic practices. This role requires a deep understanding of chiropractic billing procedures, insurance regulations, and proficiency in medical coding.
Key Responsibilities
- Revenue Cycle Management: Oversee the entire billing process, from claim submission to reimbursement, ensuring compliance with all relevant regulations.
- Claims Processing: Accurately prepare and submit claims to insurance companies, ensuring all services are coded correctly.
- Denial Management: Investigate and resolve denied or rejected claims, identifying root causes and implementing corrective actions to prevent future occurrences.
- Patient Billing: Manage patient billing processes, including generating statements, handling billing inquiries, and setting up payment plans as necessary.
- Compliance: Stay updated with the latest healthcare regulations, insurance policies, and coding standards to ensure all billing activities are compliant.
- Team Collaboration: Work closely with clinical staff to ensure accurate documentation and coding of services rendered.
- Training and Mentorship: Provide guidance and training to junior billing staff, fostering a culture of continuous learning and improvement.
- Education: Bachelor's degree in Healthcare Administration, Business, or a related field is preferred.
- Experience: Minimum of 8 years in medical billing, with at least 3 years in a senior role handling chiropractic billing.
- Certifications: Professional certification in medical billing and coding is preferred. Relevant certifications include:
- Certified Professional Biller (CPB): Demonstrates proficiency in medical billing and the ability to manage the revenue cycle. aapc.com
- Certified Medical Reimbursement Specialist (CMRS): Validates expertise in medical billing and reimbursement processes. americanmedicalbillingassociation.com
- Technical Skills: Proficient in healthcare billing software, electronic health records (EHR) systems, and Google Docs, especially Google Sheets.
- Knowledge: In-depth understanding of chiropractic billing procedures, insurance guidelines, ICD-10, CPT, and HCPCS coding.
- Communication: Excellent verbal and written communication skills, with the ability to effectively interact with insurance companies, patients, and healthcare providers.
- Analytical Skills: Strong problem-solving abilities, with a keen eye for detail and accuracy.
- Organizational Skills: Ability to manage multiple tasks efficiently, prioritize workload, and meet deadlines.
- Innovative Environment: Work with cutting-edge technology solutions tailored for the healthcare industry.
- Collaborative Culture: Be part of a passionate team dedicated to improving patient care and clinic efficiency.
- Professional Growth: Opportunities for continuous learning, development, and career advancement.
- Impactful Work: Play a crucial role in enhancing the financial health of chiropractic practices, directly contributing to better patient outcomes.
Must Have
- Must have a stable internet connection with a minimum of 25 MBPS
- Must have a mobile data plan as a backup
- Must be in a quiet environment
- Must be comfortable working the US Eastern Time business hours
- Must own a PC with at least 16 GB of memory