Medical Biller

We are, a freestanding, physician-owned, comprehensive cancer center based in Albuquerque, NM with a satellite clinic in Gallup, New Mexico. We are an Oncology Medical Home, with a focus on early intervention for patient symptoms, resulting in low hospitalization rates. Our Physicians have won Top 10 Docs in the city of Albuquerque multiple times.

As a successful Medical oncology and Radiation oncology practice, we have expanded our medical practice to include Survivorship, palliative care, Primary Care, Rheumatology, Pulmonary, Urology, Surgical ENT, General Surgery, and Neurology.

Make a difference in the lives of patients by joining a physician-led, partnership organization with a patient-centered and evidenced-based medicine approach. You will have the tools, resources, and professional freedom you need to deliver outstanding patient care.

POSITION SUMMARY:

The Medical Biller is responsible for ensuring timely capture of charges, electronic and paper claims, resolving electronic claim rejections and provisional claims issues. Ensuring that all charges have a claim and have been sent out to the appropriate payers, support the Business Office by ensuring all mail is processed both into the Billing office, from the Billing Office, and supplies restocked. This position will also ensure and perform duties that help the organization achieve its mission and vision while demonstrating and adhering to the core values.

ESSENTIAL FUNCTIONS:

Reasonable Accommodations Statement:

To perform this job successfully, an individual must be able to perform the essential duties satisfactorily. Reasonable accommodation may be made to enable qualified individuals with disabilities to perform the essential functions.

Essential Functions Statement(s):

• Validate all office visit charges for the Medical Oncology providers using the EMR and practice management system and ensure all billing components are validated (Provider, DOS, Modifiers, Supervising, etc.).
• Process the charges to facilitate submission of the claim to include working all Activities and Charges in the designated workflow of the practice management system within a 1-day time frame from the date entered (billing yesterday’s charges, today).
• Assign, review and/or resolve all electronic claim rejections
• Documents and follows up weekly on any missing/unfinished patient documentation needed to substantiate the services provided on the Claims Communication Log (CCL)
• Print and mail claims with required attachments daily
• Resolve any claims in a Provisional status that will result in submission of the charges.
• Ensures that all claims submitted have been acknowledged and accepted by the payer once submitted
• Ensures all charges have been submitted appropriately, resolving any charges without claims
• Take mail and assign postage, pick up mail and distribute to the appropriate area.
• Support the Billing Office manager and director when necessary.
• Communicate any issues and/or improvements needed to the billing edits to facilitate clean claim submission and more rapid processing of front-end processes that need addressed.
• Maintain patient confidence by keeping patient records information confidential.
• Re-stock supplies.
• Follow all policies and procedures related to these functions.
• Attending training seminars and staff meetings as necessary.

POSITION QUALIFICATIONS:

Competency Statement(s):

• Active Listening - Ability to actively attend to, convey, and understand the comments and questions of others.
• Adaptability - Ability to adapt to change in the workplace.
• Analytical Skills - Ability to use thinking and reasoning to solve a problem.
• Applied Learning - Ability to participate in needed learning activities in a way that makes the most of the learning experience.
• Communication - Ability to communicate effectively with others using the spoken and written word.
• Customer Oriented - Ability to take care of the internal and external customer’s needs while following company procedures.
• Initiative - Ability to make decisions or take actions to solve a problem or reach a goal.
• Judgment - The ability to formulate a sound decision using the available information and resources. Strong business and political acumen.
• Organized - Possessing the trait of being organized or following a systematic method of performing a task and/or presenting material.
• Problem solving—the individual identifies and resolves problems in a timely manner and gathers and analyzes information skillfully.
• Safety/Compliance Awareness - Ability to identify and correct conditions that affect employee/patient safety and privacy compliance.

SKILLS & ABILITIES:

Education and Experience:

• High School Graduate or General Education Degree (GED).
• 1-2 years’ experience preferred as a Medical Biller.
• 1 year experience in a Medical Office setting
• Ability to read, interpret and understand documents such as operating and maintenance instructions, and policy and procedure manuals.
• Ability to add, subtract, multiply and divide in all units of measure, using whole numbers.
• Ability to multi-task.
• Ability to use office equipment.

Computer Skills:

Basic computer skills, EMR and practice management systems, fast typist, and proficiency with MS Office.

Compensation/Benefits:

• Competitive Salary D.O.E.
• Generous Benefits Package

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Work Location: In person