Title: Biller
Reports To: Billing Manager
Department: Billing
Employment Status: Non-exempt
Performs all activities necessary to submit clean claims and have them processed in a timely manner and track follow up.
Required Qualifications:
Strong interpersonal and communication skills with clients, staff and other providers. Knowledge of state and federal programs for medical coverage, as well as commercial coverage. Working with self-pay patients and collections regarding self-pay patients. Previous coding experience preferred.
Significant Job Functions:
Billing
- Maintains updated insurance information in electronic medical record
- Enter charges and balance pay sheets daily
- Transmit batches electronically on a daily basis
- Run end of month cycle and balance all day sheets at the close of business on the last business day of the month
- Print up day sheet entries with self-pay payments for deposit
- Prepares monthly statements for co pay’s and self pay patients
- Post insurance and self-pay payments daily
- Accepts phone credit card payment and completes receipts
- Run paid claim report to correlate with EOB’s (explanation of benefits) and RA’s (reimbursement advise)
- Correct denied claims and resubmit to insurance company
- Call insurance companies and investigate denied claims
- Runs daily, weekly, and monthly reports
- Continues to stay current on any insurance updates on billing and referrals
Other duties and responsibilities:
- Performs other related duties as required or assigned
- Back up fellow employees as needed
Performance Goals:
- Aware of resources, referral options and services outside of the CHWC
- Embrace the center’s Mission and Vision that we are committed to providing compassionate assistants to clients.
- Exhibit service excellence behavior that create a compassionate and caring experience for patients.
Physical Effort/Environment:
Requires good manual dexterity and fine motor coordination, good vision, physical mobility and flexibility. Continuous sitting, some standing and walking necessary.
Work Schedule:
Full-time: 40 hours per week
Communication Skills:
Requires good verbal skills to communicate with patients and staff members daily. Good listening skills to understand both patients and staff. Good penmanship and clear concise writing skills.
Confidentiality of Information:
Access to and use of confidential patient medical records. Confidentiality must be maintained according to Community Health and Wellness Center of Greater Torrington policies.