MEDICAL BILLER AND COLLECTOR

Performs highly technical and specialized functions for Comprehensive Community Health Centers. Responsible for taking the data provided by the medical coders and using it to compile and submit claims to insurance companies and then subsequently bill patients, research, resolve, and collect on all unpaid accounts

Requirements

• Use coded data to produce and submit claims to insurance companies
• Verify accuracy of billing data and revise any errors
• Prepare the appropriate claims documents required by each insurer
• Daily posting of a variety of health service charges to patients’ accounts per payer
• Daily closing and balancing of day posted
• Prepare billing and/or rebilling
• Prepare and maintain daily productivity report
• Enter on a timely basis all charges, payments, credits, and adjustments by payer
• Prepare clean claims to various insurance companies either electronically or by paper
• Answer questions from patients, clerical staff and insurance companies
• Identify and resolve patient billing complaints
• Prepare, review and send patient statements
• Maintain strictest confidentiality; adhering to all HIPAA guidelines/regulations
• Maintain work operations by following policies and procedures; reporting compliance issues
• Collect delinquent accounts by establishing payment arrangements with patients and also follow up with patients when payment lapses occur
• Provide customer service regarding collection issues
• Process customer refunds and review account adjustments
• Resolve client discrepancies and short payments
• Updates accounts receivable system with denial and group information
• Review and appeal unpaid claims
• Manage the Accounts Receivable reports
• All other assignments as directed by the Billing Manger/Supervisor

Benefits

• Medical, Dental and Vision
• Life Insurance and Accidental Dismemberment
• Paid Holidays
• Paid Time Off
• 401(k) and 401(k) matching
• Flexible Spending Account
• Fringe
• Supplemental Insurance
• Wellness Day Off