MEDICAL BILLER

***THIS IS NOT A REMOTE POSITION***

TITLE: MEDICAL BILLER

POSITION TYPE: FULL TIME

REPORTS TO: BUSINESS OFFICE MANAGER

FLSA CATEGORY: NON-EXEMPT

DEPARTMENT: BUSINESSS OFFICE

MAIN LOCATION: 3676 PARKER BLVD, PUEBLO, CO 81008

JOB SUMMARY: This position is required to perform all duties of the Medical Biller. This position will be responsible for establishing, maintaining, and enforcing acceptable professional and ethical standards for billing of the Southern Colorado Clinics medical staff according to its policies, procedures, philosophy, and objectives. Responsible for all facets of medical claims billing and accounts receivable management including claims submission, denials and appeals, patient payments, payment plans and outside collections.

***THIS IS NOT A REMOTE POSITION***

DUTIES AND RESPONSIBILITIES

• Submit corrected claims and follow up on appeals and denials.
• Resubmit insurance claims that have received no response or are not on file and ensure claims are paid and processed according to Clinic contract.
• Assist with error resolution.
• Maintain required billing records, reports, and/or files.
• Post all credit and debit adjustments to patient accounts with strict adherence to the company guidelines.
• Continually work accounts receivable to ensure prompt payment for services rendered.
• Provide customer service both on the telephone and in the office for all patients and authorized representatives regarding patient accounts in accordance with practice protocol.
• Follow-up on all outstanding insurance claims at 60 days from the date of service in accordance with business office protocol with an emphasis on maximizing patient satisfaction and practice profitability.
• Follow-up on all returned claims correspondence, denials, account reconciliations, and rebills.
• Process refunds to insurance companies and patients in accordance with billing office protocol.
• Establish payment plans with patients within approved guidelines.
• Adhere to all practice policies related to HIPAA, CMS Compliance, and OSHA.
• Perform patient education when appropriate.
• Maintain work area in a clean, sanitized, and organized manner.
• Follows all Infection Prevention policies and procedures.
• Attends annual required company programs and training.
• Attends all regular required department and company meetings.
• Maintains strictest confidentiality.
• Performs all other tasks and projects assigned