Clinic Biller

GENERAL OBJECTIVES:

• Enters patient information, charges and billing information accurately in

          compliance with Medicare, Medicaid and other payor requirements

• Sends patient statements and insurance claims in accurate, timely manner.

          Coordinates third party billing activity, ensures clean claims are sent, resolves

          billing issues, and balances claims.

• Manage all claims entry into Athena and Meditech for RMU.

PRIMARY DUTIES AND RESPONSIBILITIES

1. Enters patient information accurately and in a timely manner in compliance with payor requirements.
2. Enters all charges, insurance, and patient payments.
3. Processes and sends patient statements.
4. Communicates with MDs and RNs to ensure complete, accurate coding.
5. Files clean claims to payors either on paper (1500 form) or through Navicure whole ensuring that rejected claims are edited and resubmitted.
6. Monitors bills and generates reports to ensure that all accounts are billed in a timely manner.
7. Prepares and bills second payor accounts.
8. Reviews all late charges and credits for accuracy and re-bills as indicated.
9. Coordinates with vendors (Navicure) to ensure timely billing.
10. Performs follow-up communication with insurance companies, managed care networks, governmental payors and/or employers regarding unpaid claims.
11. Re-bills insurance as needed.
12. Makes necessary corrections to accounts and documents activity including patient and insurance company credits.
13. Processes any applicable contract discounts to accounts.
14. Balances claims processed and received by carrier.
15. Escalates follow-up to a higher level of collection activity as necessary (AR Services).
16. Monitors aging claims and collections for out-of-timely filing, bankruptcy, etc.
17. Documents all payment activity on the monthly Dashboard.
18. Works closely with registration regarding patient balances, insurance entry, etc.
19. Enters coding updates as needed.
20. Processes refunds to insurance companies and/or patients as needed.
21. Answers telephone calls from patients, insurance companies, employers, and anyone else with a billing question.
22. Performs above duties while maintaining the Clinic’s high standard of courteous, professional communication.
23. Performs other duties as instructed by director.

QUALIFICATIONS:

• High School graduate
• Excellent customer service and communication skills
• 2-3 years medical billing experience preferred

SALARY RANGE

• ‎$20.41 to $30.02/hour 
• Entry salary dependent upon education, skill-set, and experience.

BENEFITS

Valley View offers a comprehensive benefit package that supports our employees' physical, emotional and financial health. 

• Medical, Dental and Vision
• Annual Bonus based upon organizational and individual performance.
• Flexible Spending Account (FSA)
• Generous Paid Time Off accrual
• Tuition Assistance
• 401(a) and 403(b) plans
• Employee Assistance Program
• Employee discount on Valley View Services
• Use of Sunlight and Aspen SkiCo day passes

APPLICATION SUBMISSION END DATE

Application window will close upon successful hire of qualified candidate

Salary : $20 - $30