What are the responsibilities and job description for the Medical Biller position at NVISION Eye Centers?
Overview
NVISION® Eye Centers is the leading ophthalmology partner comprised of the nation’s leading providers of ophthalmic physician services. Based in Aliso Viejo, California, the Company operates over 50 locations (clinics and ASCs). We strive to delight our patients by providing unrivaled care and service that exceeds their expectations. We are The Eye Doctors’ #1 Choice®.
SUMMARY
This position is responsible for ensuring accuracy in charge entry and payment posting for the purpose of driving timely clean claim submissions and accurate account reconciliation. The ASC Biller is highly attentive to detail, organized, process-driven, collaborative, and possesses strong time management skills.
Responsibilities
RESPONSIBILITIES:
• Timely entry and accurate review of charges entered into the practice management system prior to sending out facility claims
• Prompt submission of claims to insurance carrier via electronic claim submission or paper claim form
• Daily reconciliation of operative reports and pending charges
• Properly route escalations and follow-through on open issues until achieving resolution
• Void charges and/or transactions as needed
• Achieve goals set forth by management regarding error-free work, transactions, processes and compliance requirements
• Post all insurance payments, manual and electronic to patient accounts
• Post all patient payments to patient accounts
• Post all non-EDI payments, contractual allowances, rejection codes, deductibles, and co-payments
• Update and maintain all logs and spreadsheets used for reconciliation
• Partner with finance team to research unidentified payments and/or recoupments to determine appropriate resolution
• Identify credit balances at time of posting and submit refund request for approval
• Post approved refund transactions timely and accurately
• Insurance verification and processing of authorizations as assigned
• Actively working denied/rejected claims as assigned
• All other duties as assigned
Qualifications
REQUIREMENTS:
- Experience with physician billing
- 3 years of success in medical billing and/or collections
- Intermediate level experience with Microsoft Word and MS Excel
- Excellent verbal and written communication skills.
- NextGen experience preferred
- Exceptional people skills
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