Medical Billing Account Representative

Job Description

Job Description

Description : Postion Summary :

We are seeking a highly motivated and detail-oriented Medical Billing Account Representative to join our team. The ideal candidate will have a background in medical billing and coding, as well as excellent communication and organizational skills. This position will be responsible for reviewing, collecting and verifying all information and documentation necessary for timely billing of patient accounts.

Reports to : Billing Manager

Classification :

Full-time position, non-exempt

Requirements :

List of Duties and Responsibilities :

• Submitting primary, secondary, and tertiary claims to insurance carriers.
• Resolving insurance claim denials.
• Reviewing and monitoring insurance reimbursement for consistency with contracts.
• Processing monthly statement billing for patient balances.
• Posting payments from insurance carriers and patients.
• Applying co-payments, co-insurance, and deductible amounts to patient accounts.
• Responding to physician, patient, and insurance carrier questions and requests for information.
• Evaluating patient demographics for accuracy and completeness.
• Process patient phone payments.
• Monitor and resolve financial discrepancies.

The medical biller will have direct contact with physician offices, surgery centers, other departments as well as insurance companies and must demonstrate a positive demeanor, good verbal and written skills, and be professional in both appearance and approach. Must demonstrate strong interpersonal skills to ensure cooperation from other departments and be able to handle potentially difficult situations and multiple tasks at one time. Must have a thorough understanding of insurance billing requirements for all federal, state and local agencies and third party submissions. In the event a bill does not pass the automated edits, must determine the required corrective action, and document repetitive errors. Employee must be a positive role model for other staff by working with them to promote team work and cooperation.

Minimum Requirements :

Physical Demands

Empire Management Group, Inc. is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.

Applicants will be required to pass a post offer background check and credit check.