Medical Biller

General Description: Financial consultation and clarification of Insurance or self-pay information to the patients.

Essential Functions:

• Verify summary of benefits
• Provide financial consultation to new patients: explain and sign new financial contract with new patients or update old financial contracts with return patients
• Explain insurance deductible, co-insurance, copayment and patient responsibilities.
• Explain self-pay fee schedule and different promotional packages
• Daily review of DPS schedules, patients insurance/financial status and establish schedule when payment/deductible, co-insurance is due, also generate patient statements
• Collect procedure payment for S.P patients either on D3, during the monitoring visits (D3-12) or the day before the procedure date (D13), and inform precertification team to start precertification process on Day 3 of the cycle for patients with insurance coverage
• Answer all patients or insurance telephone calls and emails
• Prepare daily transaction/closing report for deposit.
• Review patient bills for accuracy and completeness and obtain any missing information.
• Generate and submit insurance claims, identify and bill secondary or tertiary insurances
• Process refund requests
• Post daily scheduled payments.
• Storage billing: review embryo/oocyte/sperm spreadsheet to verify current storage, enter both current bill and future recurrent bills using configured encounters for 50 years
• Identify and resolve patient billing complaints
• Participates in educational activities and attends weekly staff meetings.

Education:

• Associate Degree, Bachelors degree preferred. Knowledge of business and accounting processes. Certification from an accredited medical and billing school.

Work Environment:

• We value patient care first. We service patients from all around the globe, seven days a week and are open on holidays. We are a fast paced IVF clinic with a diverse group of patient and staff.

Experience:

• Minimum of 1 to 3 years in a medical office setting.

Preferred Qualification:

• Bilingual in English/Chinese (Mandarin).
• Pristine organizational skills
• Excellent written and oral communication
• Excellent work ethic and ability to work both independently and as part of a team.
• Meticulous organizational skills and attention to detail.
• Excellent time-management, customer service, and critical-thinking skills.
• Ability to work well in a very fast-paced environment while maintaining composure and an individualized, compassionate approach to patient care