Job Family: Patient Services

JOB DESCRIPTION

Job descriptions are not intended, and should not be construed to be an exhaustive lists of all responsibilities, skills, and efforts or working conditions associated with a job. Management reserves the right to revise duties as needed.

Job Family: Patient Services

Job Function: Revenue Cycle

Job Title: Sr. Medical Biller

Pay Band: 4

FLSA Status: Non-Exempt (Paid Hourly)

General Description (Purpose and Function):

The Senior Medical Biller will be responsible for processing billing information in the IDX system. Will also assist the supervisor in maintaining quality control of data, and will identify potential problems, provide possible solutions and put them into effect.

Primary Duties and Responsibilities (For Non-exempt Employees Include Percent of Effort):

· Assists the Supervisor, Medical Billing with Training and educating new staff on all systems; Web Billing, IDX, insurance verification internet sites etc…

· Serves as liaison between the billing office and IDX on system issues.

· Runs AES reports weekly on TES accounts and monitors to keep the contents at a minimum in the Transaction Editing System.

· Verifies all claims and NEIC edits are corrected and released within two weeks.

· Reports to Supervisor, Medical Billing on a monthly basis all claim and NEIC edits quantified by billing area.

· Verifies all controls are followed in all clinics to verify no charges are missed.

· Verifies all payment reconciliation processes are followed at the clinics and verified by the Billing Office Custodian area.

· Ensures that all charges are entered within five days of receipt.

· Ensures that all missing information is returned to the billing office within three to five days. Review encounters received for all pertinent information: patient information, insurance information, service descriptors, diagnosis codes and managed care authorization requirements.

· Coordinates correcting vouchers with missing or wrong information with physicians and assigned staff.

· Prints daily appointment voucher report and reconcile all vouchers to report. Certify reconciliation by signing and dating each one.

· Submits completed batches, including vouchers, transmittals, bank deposit slips, copies of checks, and credit card receipts to appropriate billing offices daily.

· Performs other duties as assigned.

Knowledge, Skills, and Abilities:

· Knowledge of medical terminology, Medicare, Medicaid and third party payors.

· Computer skills that include MS office

· Familiar with medical billing and collections procedures.

Education Requirements (Essential Requirements):

· High School Graduate.

Work Experience Requirements (Essential Requirements):

· Minimum three (3) years medical billing experience.

Job descriptions are not intended, and should not be construed to be an exhaustive lists of all responsibilities, skills, and efforts or working conditions associated with a job. Management reserves the right to revise duties as needed.