Medical Biller I

Company: Hughston Clinic
Location: Columbus
Posted on: May 3, 2021

Job Description:

Position Goal: Maintains overall understanding of assigned payor to include CMS regulations and billing requirements. Serves as a liaison between clinic and assigned payor.Position Responsibilities;Organizes clinic claims for electronic or hard copy mail and ensures expected receipt by appropriate third party payors.Reviews claims to ensure payor specific billing requirements are met, follows up on billing, determines and applies appropriate adjustments, answers questions and updates accounts as necessary.Manage assigned Payor buckets. Ensures timely filing/follow up requirements followed by payorAssist patients with questions/payments on their accounts.Appropriately appeal insurance claims in a timely manner.Review operative and consult notes to support proper billing.Research and write up refunds in a timely manner.Minimize Days in Accounts Receivable. Establish /maintain relationships with Trauma Clinical Staff.Vast understanding of State Law Medical Billing Requirements.Communicate and management of Out of State billing policies.Obtain hospital authorizations when needed for inpatient claimsAssist patients with arrangement of payment plans for outstanding balances as outlined by clinic policies.Collect monies owed by patients using Athena tools in accordance with all applicable accounting and financial policies.Processing and posting of verbal paymentsProcessing and posting of Virtual PaymentsMaintain Unpostable DashboardEducate assigned front desk staff regarding billing issues Experience:1 year experience required (2 years preferred) of medical collections experience that demonstrates the following: insurance/claims processing, posting, modifier use, understanding of EOBs, navigation of payor sites, HCFA/UB, determining eligibility/co-insurance/ copayments and deductibles. Must have knowledge of front end (patient payments, demographic to file the claim) and back office billing office practices (the filing and follow up of the claim). Physician practice setting preferred. CPAR preferredEducation:High school diploma or equivalent requiredSpecial Qualifications:Must be able to work independently. Strong attention to detail required.The Hughston Clinic, The Hughston Foundation, The Hughston Surgical Center, Hughston Clinic Orthopaedics, and Jack Hughston Memorial Hospital participate in E-Verify. This company is an equal opportunity employer that recruits and hires qualified candidates without regard to race, religion, color, sex, sexual orientation, gender identity, age, national origin, ancestry, citizenship, disability, or protected veteran status. This company is a VEVRAA Federal Contractor.

Keywords: Hughston Clinic, Columbus , Medical Biller I, Other , Columbus, Georgia