The Medical Biller (Patient Account Representative) is responsible for knowing all pieces of the billing cycle including billing of services, collection of all services, entry and reconciliation of payments to the practice management system.
This position has the ability to fill in at any and all positions necessary for the proper and
timely coding and entry of billings from charge entry staff and may act as a liaison for the billing
department in coordinating meetings, scheduling training, keeping informed about changes
effecting the department, helping to insure department efficiency and will be able to perform highlevel
miscellaneous tasks at the descretion of the Director of Patient Accounts.
-Under general supervision, the Patient Accounts Representatives primary responsibilities include
Problem solving by Identifing and resolving patient billing issues and internal control items
in a timely manner.
-Displays excellent customer service and acts as a lead resource for complicated billing
and insurance collections questions.
-Assists in preparation and communication of appropriate billing policies and procedures
-Works closely with the clinics' front and back office personnel to proactively resolve and
prevent patient account errors.
-Accurately verifies eligibility by accessing the Internet
-Accurately and thoroughly inputs patient information
-Reviews information and updates patient's account on database system by accessing
various screens and accurately updates the appropriate screens.
-Actively researches denials and re-files denials. Ensures denials do not age more than 30
-Research denials by going back to the Internet and rechecking the data; data of birth and
social security number. Refiles UB92 claims on a daily basis.
-Process all other claims including electronic filing by transmitting data for fast claims.
-Accurately and thoroughly posts Medi-cal and various insurances payments in patient
account on a daily basis.
-Reviews outstanding claims for re-filing and writes off uncollectible balances.
High School diploma is required
Bachelors Degree or equivalent experience preferred
Must have previous clinical business office and medical billing experience (other resumes will not be considered).
Excellent knowledge of healthcare insurance and billing information in an FQHC
environment is highly preferred.
Advanced practice management system and/or billing system skills are required
Bi-lingual (English/Spanish) is helpful, but not required
Must have attention to detail and accurate data entry skills
Must have excellent teamwork and customer service abilities
Intermediate to advanced knowledge of Microsoft Word and Excel programs
Must be able to work well in team environment.
Must be able to follow direction
Detail-oriented with excellent organization skills.
Competency in Microsoft Office Word and Excel programs
Ability to meet deadlines and manage changing priorities
Ability to represent clinic in professional manner and handle patient issues with sensitivity and confidentiality.
Requires high level of initiative, attention to detail and the ability to follow-through on assignments independently through completion.
Must be able to handle multiple, competing and varied tasks and manage the flow of work successfully.
Ability to represent the Clinic in as very professional manner to the public and within the organization well with individuals at all levels of management.
Must be able to multitask