Medical Biller

If your a Medical Biller, looking for something more part time this could be the opportunity for you.

3 days a week.

8.30am to 5pm

Must have excellent knowledge with DSM and ICD.

Take a look at the requirements, look forward to hearing from you.

Please send your resume to sbenson@nri-staffing.com

ob and Technical Knowledge - Demonstrates a complete knowledge of ATT policies and

procedures regarding the standards of ethical billing and coding and Maryland Medicaid

protocols, procedures, and billing guidelines. Executes billing responsibilities with confidence, integrity, and honesty and works with minimal supervision.

Communication - Writes and speaks effectively in ways that others can clearly understand.

Listens well and provides appropriate feedback, asks questions to ensure complete understanding. Exercises a professional approach with others using outstanding customer

service skills and uses tact when giving feedback and making requests.

Problem Solving - Anticipates problems and understands how a problem and its solutions will

affect other departments. Gathers all necessary information before making decisions or sending

requests. Appropriately adapts to changing priorities, deadlines, and directions. Works to

eliminate all processes which do not add value and is willing to take action, even under pressure,

criticism, or tight deadlines. Analyzes procedures for possible improvements.

Attention to Detail - Is alert in a fast-paced environment with a heavy workload. Follows

detailed procedures and ensures accuracy in claims submission and reconciliation.

Inspects work for flaws and considers excellence a fundamental priority.

Organizational Skills - Able to manage multiple tasks and prioritize them. Efficiently organizes workday. Sends correspondence in a meaningful and efficient way, in which the

the receiver can understand.

Responsiveness to Requests - Responds to requests in a timely and thorough manner.

Prioritizes needs and ensures follow-up is completed.

Flexibility - Remains open-minded to changes based on new information. Performs a wide

variety of tasks and changes focus quickly as demands change. Manages transitions from task to

task effectively.

Informatics- The ability to use information technology (EMR) to perform essential job duties.

RESPONSIBILITIES

• To ensure the submission of accurate claims to various insurance companies and other

funding sources within established timeframes;

• Troubleshoot billing discrepancies and non-payment through payment reconciliation;
• Check and correct all claims daily before submission;
• Upload and review EOBs, 277s, 835s and 999s weekly;
• Reconcile batches and make necessary corrections to claims for resubmission, weekly;
• Contact ASO weekly to correct and dispute claims that cannot be completed online or through the EMR system;
• Notify providers of insurance lapses and reinstatements, and communicate authorization issues as they arise;
• Contact consumers with insurance lapses/issues via phone and in writing, and enter appropriate warnings in the EMR system;
• Collaborate with the psychiatry department regarding RxEM codes, as needed;
• Maintain and manage consumer data and insurance information, following all protocols

related to consumer privacy;

• Recognize unethical and fraudulent billing and follow appropriate protocols to report

and resolve these suspicions;

• Update location of services provided, as needed;
• Maintain the billing matrix and update, as needed;
• Conduct billing audits, as required;
• Process payments from self-pay, as needed;
• Obtain concurrent OMHC authorizations;
• To participate in supervision, meetings, and training, as required;
• Other duties as assigned.

POSITION REQUIREMENTS

• Minimum of one year working as a medical biller/coder;
• Familiarity with the DSM and ICD;
• Comfort using an EMR system and various databases;

REPORTS TO: Owners

Thanks

Sonia Benson

sbenson@nri-staffing.com