What are the responsibilities and job description for the Biller position at PROMESA R.H.C.F.?
POSITION OVERVIEW:
Under the supervision of the Director of Revenue Cycle, the biller will be responsible for timely billing and account receivable functions, such as claims filing, patient billing and accounts receivables from patients and third-party carriers. The incumbent will closely monitor patient/client accounts.
KEY ESSENTIAL FUNCTIONS:
- Responsibilities include third party insurance billing and review and processing of payments
- Review of trial balances and adjustment of accounts after payment
- Assist with loading encounters if needed
- Maintains accurate records of billing claim submission
- Updating patient’s demographic and generating Billing Reports
- Check patient payments
- Reviewing EOBs
- Claim denial reconciliation
- Other duties and responsibilities assigned by the Director
REQUIREMENTS:
- High school diploma or GED.
- Minimum of 2 years’ experience in medical billing
- Demonstrate knowledge of medical billing principles and practices
- Understanding of Insurance benefits
- Knowledge of OASAS Article 32, Article 28 & 31 billing rules & compliance
- Excellent computer skills; Microsoft Word, Excel, PowerPoint.
- Demonstrate use of Nextgen, Epaces and various managed care web portals
- Must be team oriented and possess a positive attitude with a willingness to be flexible and helpful
- Must be able to multi-task with strong organizational skills
- Excellent interpersonal skills and able to communicate both verbally and in written form
- Commitment to cultural diversity and sensitivity
- Ability to maintain a professional demeanor under pressure, and operate with keen sense of urgency and commitment to quality
