What are the responsibilities and job description for the Medical Biller/Collector position at The Physicians' Group?

USPI Theda Oaks Gastro and Endo is seeking a motivated Medical Biller / Collector to join our team. Our team is small, but we are mighty! Current operations are M-F, 5 : 30 a.m. - 6 : 30p.m., however hours will depend on patient flow. We have 4 Treatment rooms. We perform outpatient surgical procedures in Gastroenterology and Pain Management

THIS IS NOT A REMOTE POSITION

Biller job duties & responsibilities :

Works with Coder ensuring Coder has all documentation necessary for coding and all surgical procedures are coded in a timely manner.
Assists in ensuring all dictation of operative reports are accurately transcribed and processed in an efficient manner.
Prepares a variety of recurring and special reports and / or correspondence.
Inputs all patient charges to patients’ accounts ensuring accuracy and thoroughness.
Electronically or manually submits claims to payers within 24 hours of final bill.
Ensures UB-04’s, CMS 1500’ and electronic submissions are accurate eliminating rebills.
Prepares and submits secondary bills to payers.
Ensures billing practices are in compliance with the ethics and compliance policies and procedures.
Retains billing information and other pertinent patient information in billing packets as required.
Interacts with third parties in a manner that will encourage prompt payment and claim adjudication, when applicable.

Collector job duties & responsibilities :

Identifies the source of payment delays and takes appropriate action to adjudicate the self-pay balance.

Actively and persistently conducts follow-up so that all unpaid patient account balances are collected. Documents collection attempts in each account.

Appropriately identifies accounts to be written off to bad debt and / or referred to a collection agency and refers the account to the Business Office Manager for further review.

Uses collection letters in instances of contract default and to advise patients or guarantors of imminent collection or legal action.

Aggressively and persistently follows up to collect outstanding third-party balances by using routine written collection correspondence, and telephone calls to responsible payer representatives.

Discusses personal and financial matters with patients and / or their representatives and discusses facility credit and collection policies and procedures.

Monitors collection activity through the use of aging reports; ensures that all active accounts are pursued for collections per facility guidelines.

Processes appeals for denied claims and / or for additional payment on incorrectly paid claims.

USP-123

LI-CM1

Required Skills

Qualifications :

High School Diploma or equivalent.

Minimum 2 years of medical billing experience.

Minimum 2 years of medical collections experience

Excellent communication skills using proper English grammar.

Familiar with patient accounting software, especially AdvantX.

Ability to read and understand insurance explanations of benefits and managed care contracts

Knowledge of Internet Explorer, Microsoft Excel, Microsoft Word, and Outlook.

USPI complies with federal, state, and / or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.

Required Experience

Qualifications :

High School Diploma or equivalent.

Minimum 2 years of medical billing experience.

Minimum 2 years of medical collections experience

Excellent communication skills using proper English grammar.

Familiar with patient accounting software, especially AdvantX.

Ability to read and understand insurance explanations of benefits and managed care contracts

Knowledge of Internet Explorer, Microsoft Excel, Microsoft Word, and Outlook.

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