Physician Biller

  • Responsible for goals / client metrics related to the Practices you are assigned to

  • Learn all aspects of the various software utilized throughout the operation

  • Work effectively with clients and their office personnel

  • Identify issues, by client, that are hindering the Billing Associates from being able to work efficiently and effectively and address them with your manager

  • Make recommendation to improve / streamline billing processes

  • Duties could include:

    • Posting missing payments

    • Work rejected and invalid claims after submission

    • Send appeals for low or incorrect payments and denials

    • File paper secondary 3rd party claims

    • Answer patient phone inquires

    • Conduct AR Follow up via the third party payers website or phone

    • Complete requests for patient refunds or initiate 3rd party take backs on overpayments

    • Understanding of specialty they bill for e.g. CCI Edits, modifiers etc.

  • Participation in and oversight of Company HIPAA and Compliance Program

Knowledge of ICD-10 and CPT (Need to have exposure to ICD-10 training & ICD-9 knowledge)
? Minimum 4-5 years of Physician billing or Hospital Billing / accounts receivable experience
? Proficient in Microsoft software Word and Excel. Must be comfortable working off dual screens & comfortable navigating payor websites.
? Interpersonal skills to effectively interact with clients, co-workers, third party payers, patients and their families

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