Administrative Assistant - Reception, Coding, and Billing (Full Time)

Job Duties:

We seek motivated individuals who share our common goal of delivering excellence in plastic surgical care. This individual will work in a team setting wherein initiative and self-organization are essential. This is a patient-facing role where service-oriented care is paramount. This individual will oversee medical coding and billing for an independent surgical practice. Familiarity with ICD10 coding and CPT terminology is required. The individual must be comfortable coding procedural services, reviewing claims and appeals regularly, serving as liaison for medical billing services and health insurance companies, overseeing medical fee collections, and managing patient billing concerns in an attentive manner. This individual will submit, track, and pursue prior authorization requests in a proactive manner. This individual will liaison with contracted services, renegotiate bids with contracted services on a recurring schedule, and triage office solicitations.

The individual must assist in the administrative work of a busy medical office, executing reception duties in a service-oriented and compassionate manner, answering phones, assisting in patient check-in and check-out, scheduling patient appointments, and assisting in filing and maintenance of medical records.

This individual must be comfortable with medical insurance plans. This individual will verify patient insurance and insurance benefits, submit and review prior authorization requests, coordinate medical insurance appeals, and facilitate correspondence with medical insurance providers.

In addition to these various billing tasks, this individual with participate in the work of medical office reception and telephone triage, maintaining a compassionate and accommodate rapport with patients at all times, and assisting the administrative work of a busy medical office.

The primary setting for this employment is a medical office and ambulatory surgical facility in the Pittsburgh area with special focus on plastic, reconstructive, and hand surgery procedures.

Those without experience in a medical office need not apply.

Those without experience with medical coding, medical billing, and health insurance need not apply.

Job Description:

Medical Coding

• Provide diagnosis and procedural codes for surgical services.
• Prepare claims for weekly review and submission to third party medical billing service.
• Accommodate requests from third party medical billing services in a timely manner.
• Maintain familiarity with latest CPT and ICD coding guidelines.

Medical Billing and Collections

• Collect and process patient fees. Oversee patient repayment plans.
• Assess patients’ insurance benefits such as deductibles, coinsurance, and copays.
• Prepare and review prior authorization requests with insurance providers.
• Coordinate medical insurance appeals and correspondence.
• Perform regular billing review and oversight on a recurring basis.
• Manage and coordinate patient billing concerns in a timely and attentive manner.
• Prepare and scan the daily financial submissions.
• Review patient charts and charge slips if office hours are scheduled on the following day.
• File all charge slips, superbills, and payment slips into patient charts in a timely fashion.
• Assist in tracking outstanding balances.
• Resolving claim denials.
• Answering patient insurance and billing concerns in a timely and compassionate manner.

Medical Reception

• Taking and managing patient phone calls and electronic communications in a timely, compassionate, and accommodating manner. Appropriately documenting these encounters, and promptly relaying all medical concerns to the appropriate RN or MD.
• Continuous demonstration of a keen ability to establish rapport with patients and families during their office visits, greeting them professionally, determining their needs promptly, and exhibiting an overall service-oriented responsiveness.
• Assisting patients in their completion of patient intake forms, insurance forms, and health forms, and registration forms.
• Verifying insurance. Collecting and maintaining up to date patient registration information.
• Maintenance of a clean, organized, and welcoming environment.

Scheduling

• Assist patients in the scheduling and rescheduling appointments and procedures. Assist patients in scheduling appointments with other physicians, caregivers, and testing centers.
• Reviewing upcoming schedule and to assist in the timely anticipation of patient needs.
• Assist in the notifying patients in advance of their upcoming appointments.

Medical Records

• Assist patients in completing insurance forms, health forms, or registration forms.
• Obtain outside records and process medical record requests.
• Assist in medical record filing and chart filing.

Office Financial Reviews

• Processing and review of accounts receivable
• Identification of billing errors, overages, or balances due

Coordination of Contracted Services

• Regular review and re-negotiation of contracted services including but not limited to utility services, cleaning services, waste disposal services, facility services, etc.
• Obtaining and presenting bids for services for review on recurring basis.
• Triage office solicitations.

Contribute at all times to the maximization of quality, safety, and convenience for all patients.

Requirements & Qualifications:

• Ability to adhere to HIPAA standards at all times.
• Dependability is an absolute requirement.
• Unwavering commitment to duty-schedules is paramount. Patient care has no place for call-off culture. Those unable to adhere to duty schedules need not apply.
• Previous medical office experience is required.
• Previous medical coding experience is required.
• Uncompromising work-ethic and “patient-first” mentality are absolute requirements.
• Comfort with medical insurance web portals and telephone contact systems is required.
• Comfort with Microsoft office programs, Windows operating system and applications is required.
• Experience or certification in accounting & book keeping is favored.

Hours: full-time. Daylight hours, Monday-Friday, no weekends/evenings.

Benefits: health insurance, dental insurance, vision insurance after onboarding. Paid time off, Free parking. Continual support of personal professional development.

Benefit Conditions: waiting period may apply.

Job Type: Full-time

Pay: From $24.00 per hour

Benefits:

• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• Day shift
• Monday to Friday

Experience:

• ICD-10: 1 year (Required)
• CPT Coding: 1 year (Required)
• Medical Billing: 1 year (Required)
• Medical Office: 1 year (Required)
• Medical Insurance: 1 year (Required)

Work Location: In person

Salary : $24