What are the responsibilities and job description for the Medical Biller/Coder position at Community Clinic?
Job Summary
Community Clinic is seeking a motivated individual to work in a fast-paced Medical Billing office serving multiple providers. Key responsibilities include determining insurance coverage and eligibility, reviewing diagnosis and procedure code combinations using ICD-10, preparing and submitting claims to insurance, accounts receivable follow-up, and providing excellent patient account customer service. 1 year of medical billing/coding experience is required.
Key Responsibilities
- Prepares and submits medical and dental claims to Medicaid, Medicare, commercial insurance and private pay patient accounts.
- Analyzes rejected claims, corrects errors, and resubmits claims to payer for payment.
- Updates information in software on patient accounts when new information comes available.
- Posts reimbursement checks in software as received.
- Analyzes denied claims, submits corrected claims when necessary, and reports anomalies to supervisor.
- Works with third party payers on billing problems, denials and requests for information.
- Communicates with patients regarding issues affecting payment such as coordination of benefits, third party payers, Medicare replacement plans, and primary care physicians.
- Researches outstanding claims, corrects errors, communicates with payer, and resubmits for payment.
- Handles patient billing complaints professionally and expeditiously.
- Prepares financial records for release when requested and authorized.
- Has knowledge of sliding scale discount procedures and adjusts accounts as necessary.
Qualifications
- High School diploma or equivalent required.
- 1 year of medical billing/coding experience required.
- Bilingual (Spanish/English or Marshallese/English) is a plus.
- Knowledge of CPT codes, ICD-9 and ICD-10 codes, and modifiers is a plus.
- Medical billing or coding certification (especially a CPC) is a plus.
Why Join Community Clinic?
Be a part of a mission driven organization providing comprehensive health care to everyone in your community, regardless of their financial or medical situation!
Automatic 5% contribution to employee retirement plan, no match required!
Competitive pay, PTO, and 10 annual paid holidays!
2 annual bonus opportunities (up to $1000 per opportunity)
