Medical Biller

Job Summary:

Upper West Side Endoscopy (UWS) is seeking a Medical Biller, A/R - A/P Clerk who will be responsible for the accurate and timely submission of all insurance claims and patient statements. Ensures that all receivables are correctly posted to the billing software system and deposited in the bank. Also ensures that all payables are reviewed by administration and paid in a timely manner. Works with Business Office Manager/Management Company, Administrator, Clinical Coordinator, Business Office members and Physicians to achieve the objectives, visions, and goals of UWS ASC.

Responsibilities:

• Responsible for the daily generation of all insurance claims within 1-2 business day of case completion.
• Ensures the accuracy of coding by reviewing procedure documentation.
• Resolves any and all coding discrepancies with physician or administration before submitting claims to insurances.
• Complies with CMS NCCI when accurately completing UB04 and HCFA 1500 claims for electronic or paper submission.
• Monitors aging A/R and conducts status updates for all insurance claims outstanding longer than 30 days from date of service.
• Corrects and resubmits rejected or denied claims.
• Conducts monthly patient account balance statement review and subsequent billing.
• Arranges patient payment programs in compliance with UWS ASC policy.
• Posts all insurance and patient claim payments to the billing system.
• Copies, organizes, and stores all checks and explanation of benefits.
• Responsible for daily bank deposits.
• Produces daily payment reports and reconciliation with deposits for administrative review.
• Responsible for the accurate posting of all receivables and payables to the billing program.
• Ensures that all vendor invoices are submitted to the Business Office Manager for review, and appropriately matched with purchase orders and packing slips.
• Responsible for the production of checks as to comply with vendor terms, obtaining authorized signatures, and the timely mailing of completed checks.
• Organizes and stores all paid vendor invoices.
• Fields all billing related questions that patients may have.
• Checks insurance benefits as needed.
• Provides a back-up role in the following areas when needed: reception and scheduling. Duties may include but are not limited to answering phones, patient admission, medical record, scanning, insurance benefit verification and patient scheduling.
• Participates in appropriate meetings.
• Participates and supports research and improvement studies that can make meaningful contributions to the quality and economy of UWS ASC’s services.

Qualifications:

• High school diploma or equivalent required
• Demonstrates interpersonal communication skills required to facilitate effective interaction with a variety of healthcare professionals.
• Ability to work minimal supervision and organize work in order of importance.

WORKING CONDITIONS:

• Work requires constant technical attention to accuracy and detail for extended periods of time.
• Minimal to moderate physical effort is required.
• Extended periods of sitting and computer use.
• Occasional lifting, bending, stooping, kneeling, crouching and reaching.

KNOWLEDGE AND EXPERIENCE:

• Experience as medical biller or insurance coordinator, preferable in an Ambulatory Surgery setting.
• Computer records system experience.
• Must have advanced clerical training, which includes typing, basic filing skills and fundamental understanding of office procedures.
• Ability to set priorities for completion of daily work schedule and assignments.
• Familiarity with medical terminology and procedural nomenclature.
• Knowledge of all Local, State and Federal confidentiality requirements regarding protected health information.
• Strong verbal and written communication skills
• Excellent phone etiquette.
• Strong interpersonal skills

Job Type: Full-time

Pay: $20.00 - $28.00 per hour

Benefits:

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

Schedule:

• 8 hour shift
• Monday to Friday

Experience:

• Medical billing: 1 year (Preferred)

Work Location: One location