Medical Biller/Patient Service Coordinator

Medical Biller/Patient Service Coordinator (In house Position, Not Remote)

JOB OVERVIEW
JOB TITLE
Medical Biller/Patient Service Coordinator
LOCATION
Portland, Oregon
WEEKLY HOURS
40 Hours
REPORTS TO
Revenue Cycle Supervisor, Practice Administrator
POSITION DETAILS
JOB PURPOSE
Medical Office Biller/Patient Service Coordinator in an orthopedic practice (AthenaOne EHR Experience a Plus). The position will be responsible for submitting and managing medical insurance claims within a healthcare practice, with a strong preference for candidates with prior experience using the AthenaOne Electronic Health Record (EHR) system to streamline billing processes; key duties may include patient demographic verification, coding diagnoses and procedures, claim submission, some payment posting, and resolving billing discrepancies, while proficiency in AthenaOne features would be highly valued.

DUTIES AND RESPONSIBILITIES

• Patient registration and demographic verification: Accurately collecting and updating patient information within the AthenaOne system.
• Medical coding: Assigning accurate ICD-10 and CPT codes to patient diagnoses and procedures based on medical documentation.
• Claim submission: Generating and electronically submitting insurance claims to various payers using the AthenaOne billing platform.
• Claim scrubbing and review: Identifying and correcting potential billing errors before claim submission to minimize claim denials.
• Payment posting: Posting patient payments and insurance remittances to patient accounts within AthenaOne.
• Account receivable management: Monitoring outstanding balances, following up on overdue payments, and taking appropriate collection actions.
• Billing reports and analysis: Generating and analyzing billing reports to identify trends and areas for improvement.
• Insurance verification and eligibility checks: Confirming patient insurance coverage and benefits prior to service delivery.
• Patient billing inquiries: Addressing patient questions regarding their medical bills and explaining billing processes.
• Works closely with Revenue Cycle Supervisor to ensure maximized efforts across the board with revenue cycle continuum.
• Works as Patient Service Coordinator as needed.

Preferred qualifications:

• Experience with AthenaOne EHR system: Demonstrated proficiency in navigating the AthenaOne platform, including patient charting, appointment scheduling, and billing modules.
• Medical billing certification (CPC, CPC-A): A recognized medical coding certification preferred.
• Minimum 2 years of full-time "hands-on" experience a must. Proven track record required.
• Knowledge of HIPAA regulations: Understanding of patient privacy laws and compliance requirements.
• Strong attention to detail: Ability to accurately input patient data and medical codes to ensure accurate billing.
• Analytical skills: Capability to analyze billing data and identify potential issues or areas for optimization.
• Must be a team player: Ability to work well with others, be open to learning new methods, be able take advice constructively.

Reviews electronic medical records initiated by a healthcare provider Codes paper-based records may need to be accomplished
Verifies and codes of the diagnosis, evaluation and management, procedures or other codes required for the completeness and accuracy of the record
Reviews and verifies component parts of medical records to ensure completeness and accuracy of diagnosis, operations, and special therapeutic procedures
Codes and/or reviews principal diagnosis, comorbidities, complications, therapeutic and diagnostic procedures, supplies, materials, injections, and drugs with International Classification of Diseases (ICD10), Current Procedural Terminology (CPT), Health Care Financing Administration Common Procedure Coding Systems (HCPCS – all levels, and any other coding classification systems that may be required)
Performs edit checks on data entered prior to transmittal and correct errors as indicated.

Collects surgical deposits according to company policy.
Analyzes medical record documentation for consistency and completeness for coding purposes using established criteria and regulations
Examines all documents in the record for authorized signature and patient identification to ensure all documents contain sufficient documentation to support the diagnosis and treatment administered, and the results obtained are described
Performs other miscellaneous administrative duties as assigned such as scanning, assisting other teammates less than 15% of the time as needed.
WORKING
Sitting & standing
Phone calls, scanning,
Lifting objects less than 20 pounds Use of office and computer products
SUPERVISION
Moderate to Light
DIRECT REPORTS
None
QUALIFICATIONS
MINIMUM EXPERIENCE REQUIREMENTS

Proven track record of a minimum of 2 years hands-on experience working fulltime in a billing position.
Computer: (Google Workspace, Explorer, Excel, Word, Outlook, Athena [or other EHR software]) Education: High school diploma or equivalent General Educational Development (GED) certificate Required: Certified Professional Coder (CPC or CPC-A)
Preferred Experience: Medical office setting experience
Knowledge Of:
o Medical billing practices and office policies and procedures
o Insurance
o All confidential requirements regarding patients and strict maintenance of proper confidentiality on
all such information
o Medical terminology, basic anatomy, and physiology o Grammar, spelling and punctuation

Job Type: Full-time

Pay: $24.00 - $30.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Professional development assistance
• Retirement plan
• Vision insurance

Schedule:

• Monday to Friday

Supplemental Pay:

• Bonus opportunities

Application Question(s):

• Do you have a billing certification?

Experience:

• Medical Office Billing: 2 years (Required)

Ability to Relocate:

• Portland, OR: Relocate before starting work (Required)

Work Location: In person

Salary : $24 - $30