Medical Biller I | On-Site | Full Time

Job SummaryMedical Billers bill all patient accounts to the appropriate insurance company or payor in an efficient, accurate and timely manner according to payor regulations, and, as appropriate, provide assistance in regard to patient bills, customer (patients, families, physician offices, review organizations, insurance companies) in polite and professional manner. The below Essential Functions are subject to change based on the organizational needs and to ensure with the ever-changing environment of healthcare.Key Job Duties and ResponsibilitiesDaily Responsibilities:Consistently demonstrates AIDETObtains appropriate insurance and demographic informationUnderstands EOBs, billing tickets statuses, and takes appropriate actions accordinglyUnderstands claim Edits for claim processing and takes appropriate action accordinglyEnters quality financial notes into the EMR whenever an action is taken related to an accountProcesses Facility & Professional claimsProtects patient rights by maintaining strict confidentiality, respecting HIPPAAnswer incoming phone calls from patients and insurance carriersRetrieves and return phone callsProcesses primary, secondary, and tertiary insuranceFollows up on insurance requests and accounts receivableVerifies eligibility websites and benefitsReviews Authorization and DenialsSubmits coding requests to codingCommunicates with coding department for clarification when neededProficient in utilizing insurance websitesFollows up on ageing accounts with insurance companies for paymentMaintains accurate and complete patient accountsVoiding/Cloning of tickets when appropriateCross trained to other insurances in order to fill in for coverageCreates refunds to the appropriate partyCompletes appeal to insurance companies.Insurance follow up reports and electronic queuesOther duties as assignedJob RequirementsRequired Education and Licenses: noneRequired Work Experience:Proficiency in Microsoft Excel, email composition, business correspondence, and general office skills is required.Knowledge of basic office functions, including message-taking, cash drawer balancing, and data entry.Strong attention to detail, ability to follow directions, and excellent customer service skills in an office environment.Experience in an office setting and / or medical billing experience.Required Knowledge, Skills, and Abilities:Exceptional customer service, written and verbal communication skills.Positive attitude and commitment to the organization's values and behavioral standards.Ability to work collaboratively, exceed expectations, and maintain a professional demeanor.Strong problem-solving and critical thinking skills.Proficiency with computer systems and multi-line phone systems.Adaptability to changing workflows and situations.Preferred Qualifications:Education or experience in medical office work, referrals, or billing strongly preferred.Functional DemandsPopulation(s) Served: This role serves diverse populations, including neonatal, pediatric, adolescent, adult, and geriatric patients, as well as individuals of varying genders, races, ethnicities, abilities, and socioeconomic backgrounds.Physical Demands:Fast-paced office environment requiring multitasking and prioritization.Light lifting (<35 lbs.), bending, kneeling, twisting, and reaching.Prolonged periods of sitting, standing, and typing.Visual and auditory acuity required for effective communication and task completion.Environmental Conditions:Primarily indoors with some exposure to outdoor elements (e.g., snow/ice when entering/exiting).Potential exposure to germs and viruses due to public interactions.Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.