What are the responsibilities and job description for the Medical Biller position at The Doctors Center?
****We are looking for the following location Orlando/Longwood or Jacksonville****
Job Summary:
As a Medical Biller, you will play a crucial role in our billing operations, ensuring accuracy and efficiency in processing medical claims. If you are looking for an exciting place to work and grow your career, please review the qualifications below and consider applying.
Essential Duties and Responsibilities:
- Review, appeal, and attach all necessary documentation on claims to ensure appropriate reimbursements.
- Review patient statements for accuracy, completeness and obtain any missing information.
- Handle confidential patient information with professional discretion.
- Export/process claims via clearinghouse.
- Review, modify, document denial reason code, correct and regenerate denied claims.
- Utilize assigned reports to process denials within a 30-day to 45-day time frame.
- Transfer charges to and from third party insurers making charge adjustments, credits and debits, as necessary.
- Ensuring excellence and continuous quality improvement in Billings/Accounts Receivable areas.
- Effectively communicate with customers to patients and insurers to assure accurate billing.
- Transmit and process all billable claims.
- Properly code medical services, diagnosis treatments, and more.
- Correct rejected insurance claims and coding errors.
Knowledge, Skills, and Abilities:
- Must be detail-oriented, possess the ability to multi-task/problem solve, and be open to cross-functional training.
- Exercise proper phone etiquette and navigate computer software systems proficiently.
- Ability to read and understand EOBs from various insurances the advice code.
- Medical Billing and Coding Certification preferred.
- Be team-oriented and work well with patients, colleagues, physicians, and other personnel in a professional and courteous manner.
- Have exceptional organizational skills with the ability to prioritize and complete tasks in a timely manner.
- Knowledge of medical terminology, CPT, HCPCS, and ICD coding required.
Qualifications:
- High school diploma or equivalent.
- Certification in medical billing is preferred.
- A minimum of 3 years of experience as a medical biller or similar role.
- Knowledge of medical terminology, CPT, ICD-10, and HCPCS coding.
- Proficiency with billing software and electronic medical records (EMR).
- Strong attention to detail and organizational skills.
- Ability to work independently and as part of a team.
- Excellent communication and customer service skills.
Physical & Mental Requirements: (check all that apply)
Ability to stand or sit for extended periods of time.
Ability to receive and comprehend instructions verbally and/or in writing.
Ability to use logical reasoning for simple and complex problem solving.
Occasionally requires exposure to communicable diseases or bodily fluids.
Occasional travel for clinic activities may be required.
The information listed above is not comprehensive of all duties/responsibilities performed. This job description is not an employment agreement or contract. Management has the exclusive right to alter this job description at any time without notice.
