OPEN POSITION ANNOUNCEMENT
MEDICAL BILLER

Posting Date: July 27, 2009
Apply to: Yvette Cardenas, Executive Assistant
Reports to: Billing Manager

Job Summary Statement:
Perform all functions related to medical billing, including coding, filing insurance, billing private balances, following up on unpaid insurance claims, processing refunds, and coordinating collection activity with outside agency, as well as other tasks as assigned.

Job Functions:

This list may not include all of the duties assigned

1. Charge Entry: Prepare charge ticket batches for entry and enter charges. Balance charge tickets with summary reports before closing day.
2. Medical coding: Provide ICD and CPT coding for charge tickets as required, utilizing standard coding manuals.
3. Insurance Payment Posting: Post all insurance vouchers; research denials, refiling daily as required; identify secondary coverages, filing secondary claims daily.
4. Private Payment Posting: Post all over-the-counter and mail-in payments applying payments to accounts according to procedures.
5. Insurance Filing and Private Billing: File electronic claims and generate HCFA’s according to procedures; review electronic transmission reports within 24 hours of filing, researching, correcting, and refiling as required.
6. Insurance follow-up: Print aging claims reports weekly, reviewing accounts receivable over 60 days to follow-up with insurance regarding lack of payment.
7. Refund processing: Identify and research credit balance accounts, processing refunds weekly.
8. Collection processing: Identify accounts requiring collection review; prepare and submit precollection letters, accounts for the collection agency; and post collection agency remittance advices.
9. Close of Day/Month End Processing: Close days in a timely manner consistent with policy, reviewing close of day reports to ensure accounts are in balance. Complete month end processing by the 3rd working day.

Qualifications:

• Minimum two years experience performing medical office billing for primary care of specialty care required.
• Working knowledge of accounting principles and procedures required.
• Experience with CPT and ICD coding required; CPC credentials preferred.
• Experience or training on Microsoft Excel and Microsoft Word preferred.
• Ability to perform multiple tasks efficiently and with attention to detail.
• Ability to accomplish job functions independently.
• Ability to work successfully with public and co-workers in a confidential and professional manner