Medical Biller

Our busy and successful pediatric practice is currently seeking an experienced Medical Biller to join our team.

The ideal candidate will be self starter, have the ability to work independently and with minimal supervisor, and must be detailed oriented.

If you have prior experience in the medical practice, we encourage you to apply!

Essential Duties

· Mastered the CMS 1500 claim form

· Learn the applicable CPT codes utilized for the practice

· Understand EHR and be able to work in multiple EHR systems. Systems STI and Office Practicum a plus but not required

· Ability to read a fee schedule and determine reimbursement

· Bill for multiple Pediatrics offices. Pediatric billing experience preferred.

· Understand how the clearing house works and how to review the claims that need manual intervention to be released to the payor.

· Follow the correct protocol for secondary billing

· Learn all the applicable insurance plans and which plans the provider contracted with

· Learn electronic check posting and manual check posting

· Post payments properly including denials

· Reconcile cash daily to the bank deposit

· Generate patient statements every 30 days

· Process refund requests

· Handle billing calls from patients and third-party carriers

· Identify underpayments from insurance carriers and resolve unpaid insurance accounts

· Follow directions and work well with fellow team members and management

· Accepts constructive criticism with positive attitude

· Always put patients’ needs first

· Maintain a level of professionalism as a representative of Child Smile Group Organization

Qualification requirements

· Proficient in CMS 1500 billing

· Previous experience in a medical office setting and/or experience with Electronic Health Record

· Pediatric office billing experience

· Self-starter, ability to work independently and work with minimal supervision

· Possess strong -written, verbal, communication, and organizational skills

· Microsoft office

· Team player

· HIPAA compliant

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift

Experience:

• CMS 1500: 1 year (Preferred)
• EHR systems: 1 year (Required)
• Microsoft Office: 1 year (Required)

Language:

• Spanish (Preferred)

Work Location: One location