What are the responsibilities and job description for the Biller 32 hours position at Community Health and Wellness of Greater...?
Position Summary: Performs all activities necessary to submit clean claims and have them processed in a timely manner and track follow up.
Essential Functions & Responsibilities:
Job Qualifications/Requirements:
Strong interpersonal and communication skills with clients, staff and other providers. Knowledge of state and federal programs for medical coverage, as
well as commercial coverage. Working with self-pay patients and collections regarding self-pay patients.
Education: High school diploma or GED
Experience: Previous coding experience preferred.
Essential Functions & Responsibilities:
- Maintains updated insurance information in electronic medical record
- Enter charges and balance pay sheets daily
- Transmit batches electronically on a daily basis
- Run end of month cycle and balance all day sheets at the close of business on the last business day of the month
- Print up day sheet entries with self-pay payments for deposit
- Prepares monthly statements for co pay’s and self pay patients
- Post insurance and self-pay payments daily
- Accepts phone credit card payment and completes receipts
- Run paid claim report to correlate with EOB’s (explanation of benefits) and RA’s (reimbursement advise)
- Correct denied claims and resubmit to insurance company
- Call insurance companies and investigate denied claims
- Runs daily, weekly, and monthly reports
- Continues to stay current on any insurance updates on billing and referrals
- Performs other related duties as required or assigned
- Back up fellow employees as needed
Job Qualifications/Requirements:
Strong interpersonal and communication skills with clients, staff and other providers. Knowledge of state and federal programs for medical coverage, as
well as commercial coverage. Working with self-pay patients and collections regarding self-pay patients.
Education: High school diploma or GED
Experience: Previous coding experience preferred.