A well-established growing Medical Billing & Coding company based in North Orlando is currently looking for an experienced Medical Biller: Accounts Receivable

Responsible for all facets of medical billing and accounts receivable management including charge entry, payment posting, customer service and follow-up in accordance with client protocol with an emphasis on maximizing client satisfaction and profitability. Responsible for reviewing the physician’s coding at the time of charge entry to ensure accuracy, timely payments, and to maximize revenue. Responsible for submitting insurance claims within 48 hours. Responsible for providing cross coverage for any Account Managers as required to ensure efficient and professional practice operations and maximum client satisfaction.

- Preferred 4-5 years’ experience within a medical office and/or medical billing environment.

- 2-4 years’ college

- Requires excellent written and verbal communication skills and strong customer service skills.

- Requires strong basic mathematical skills.

- Requires a minimum typing speed of forty (40) words per minute and ten-key by touch.

- Requires an extensive working knowledge of managed care networks and insurance carriers.

- Requires an extensive working knowledge of accounts receivable functions including CPT and ICD-10 coding.

- Requires proficiency in working with a PC, the Internet, and MS Windows.

- Requires a good understanding of the current Medicare Compliance and HIPAA regulations.

- Requires a high degree of organization.

- Must have worked with EMR software

- Anatomy and medical terminology knowledge required.

- Ability to work in a fast-paced environment while remaining calm and professional

- Must be able to multi-task

- Strong customer service orientation

- Positive, friendly, approachable disposition

- Ability to work with multiple priorities

- Must have the ability to work independently

POSITION DESCRIPTION (ESSENTIAL FUNCTIONS)

- Review and/or input all charges related to the assigned client’s professional services into EMR software system including office and related charges in accordance with client protocol with an emphasis on accuracy to ensure timely reimbursement and maximum patient satisfaction. All charge batches should balance in both number of procedures and total dollar prior to posting.

- Post all payments, by line-item, received for physician’s professional services into EMR software system including co-payments, insurance payments, and patient payments in accordance with practice protocol with an emphasis on accuracy to ensure maximum patient satisfaction and profitability. All payment batches must be balanced in both their dollar value of payments and adjustments prior to posting.

- Post all credit and debit adjustments to patient accounts with strict adherence to the guidelines of the Company.

- File all charge, payment and adjustment batches in the appropriate format by batch date for quick reference.

- Review the physician’s coding at charge entry to ensure compliance with Medicare guidelines and to ensure accurate and timely reimbursement.

- Provide customer service on the telephone and in the office for all clients and authorized representatives regarding patient accounts in accordance with practice protocol. Patient calls regarding accounts receivable should be returned within 1 business days to ensure maximum patient satisfaction.

- Verify all demographic and insurance information in patient registration of the EMR software system at the time of charge entry to ensure accuracy, provide feedback to clients and supervisor to ensure timely reimbursement.

- Follow-up on all outstanding insurance claims at 30-days from the date of service in accordance with practice protocol with an emphasis on maximizing patient satisfaction and practice profitability.

- Follow-up on all outstanding patient account balances at 60-days from the date of service in accordance with practice protocol with an emphasis on maximizing patient satisfaction and practice profitability using the A/R aged reports.

- Provide information pertaining to billing, coding, managed care networks, insurance carriers and reimbursement to physicians, managers and subordinates.

- Follow-up on all returned claims, correspondence, denials, account reconciliations and rebills within five working days of receipt to achieve maximum reimbursement in a timely manner with an emphasis on patient satisfaction.

- Submit primary and secondary insurance claims electronically each day and on HCFA to ensure timely reimbursement.

- Process refunds to insurance companies and patients in accordance with client protocol.

- Monitor reimbursement from managed care networks and insurance carriers to ensure reimbursement consistent with contract rates.

- Proficiency with all facets of the EMR software system including patient registration, charge entry, insurance processing, advanced collections, reports and ledger inquiry.

- Provide cross coverage for Account Managers in their absence as required to ensure efficient and professional practice operation.

- Maintain information regarding coding, insurance carriers, managed care networks and credentialing in an organized easy to reference format.

- Adhere to all practice policies related to HIPAA and Medicare Compliance.

PHYSICAL REQUIREMENTS

- Continuous sitting throughout the work shift

- Frequent bends, kneels and crouches

- Must be able to read small print

- Stooping and bending to files, supplies, mobility to complete tasks

- Repetitive movements of hands, fingers and arms for typing and/or writing during work shift

- Frequently lifts, carries or otherwise moves and positons objects weighing 10-20lbs

- Continuous use of the telephone to verbally speak to insurance companies and/or assigned by senior management

- Ability to reach with hands and arms

- Must be able to handle stress

- Will view computer screens for long periods of time.

- Must be able to work standard office equipment: computers, fax machines, copiers, printers, telephones, etc.

- Work requires hand dexterity for office machine operation

This is a great opportunity to get in with a tenured medical billing group with great benefits and an environment that exudes a positive, respectful, and supportive culture.

Competitive Compensation Package

Salary commensurate with experience