What are the responsibilities and job description for the Medical Biller position at KG Health Partners?
Overview
KG Health Partners, Inc. provides podiatry care throughout the state of Florida. With our multi-physician medical team, we deliver a high quality, patient centered approach to patient care. We are looking for a highly motivated and detailed-oriented team-player to join our company in the position of Medical Biller.
Job Title: Medical Biller
Benefits:
Health Insurance
Dental and Vision Insurance
PTO
Life Insurance
Paid Holidays
401 K (available after 1st year of employment)Other Perks:
Paid training
Frequent and ongoing employee appreciation and celebration throughout the company
Schedule:
Monday through Friday, 8A to 5P. No weekends.
Work Location:
Our office is based in Clearwater FL.
Responsibilities
- Knowledge of appropriate payer billing requirements (especially Medicare Part B) to ensure timely payment of claims.
- Electronic and manual posting and adjusting of payments from insurances and patients.
- Reviewing denied claims, fixing, resubmitting and appealing when necessary.
- Identify denial patterns, as well as notifying management of payment delay issues.
- Submit patient statements on a routine, scheduled basis.
- Responsible for maintaining the highest level of billing standards following current guidelines from Medicare, Medicaid, and other insurance entities.
Other Responsibilities:
- Adheres to the policies and procedures of KG Health Partners, Inc.
- Maintains strict confidentiality of client, company, and personnel information
- Demonstrates a strong commitment to the mission and values of the organization
- Adheres to company attendance standards
- Performs other duties as assigned
Qualifications
Job Requirements:
- Associates degree or equivalent experience.
- Full revenue cycle process experience required, including insurance verification, coding and claim submission, claim denial requisition, insurance payment posting and the appeals process.
- Experience in using electronic health record software, eligibility and electronic billing. NextGen preferred.
- Strong computer skills including average knowledge of Excel.
- Exceptional communications skills – both written and verbal.
- Ability to read, understand and use CPT, LCD and ICD 9/10 codes and adhere to Medicare guidelines and compliance.
- Superior organizational skill, attention to detail, ability to work without micro-management.
Certificates, Licenses, Registrations:
- CBD and AAPC preferred
Competencies:
- Strong organizational and interpersonal skills
- Excellent written and verbal communication skills
- Detail oriented
- Ability to multi-task and work independently
Environmental Factors/Physical Demands:
Work is performed in an office environment. While performing the duties of this job, the employee is regularly required to have the ability to maintain active customer and employee communication; access, input and retrieve information from the computer system; enter alpha-numeric data into a computerized system often while listening on the telephone. May be subject to repetitive motion such as typing, data entry and vision to monitor. May be subject to bending, reaching, kneeling, stooping and lifting up to thirty (30) pounds.
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