Marin Community Clinics

  • Medical Biller

    Type
    Regular Full-Time
    Types
    Regular Full Time
    Location
    US-CA-Novato
    Category
    Accounting/Finance
  • Overview

    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 discretion of the Director of Patient Accounts.

    Responsibilities

    • 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 days.
    • Researches 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.
    • Processes 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.

    Qualifications

    • 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.

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