Medical Biller

Overview Qualifications

• Two to three (2-3) years of Medical billing experience required, including knowledge of Medicare, Medicaid and 3rd party reimbursement as well as ICD-9 and CPT coding.
• Excellent organization skills and demonstrated ability to maintain confidentiality of patient information.
• Demonstrated ability to effectively communicate with patients and staff and to withstand the pressure that may arise in relation to dealing with physicians, the public and staff.
• Demonstrated ability to handle multiple priorities and to deal with individuals under stress.
• Thorough knowledge of medical terminology.
• Demonstrated ability to accurately record financial information required.
• Associate’s Degree. Required

• 2 years of exp required
• Verifies accuracy of billing forms and enters pertinent data in appropriate databases, ensuring timely and optimal reimbursement.
• Investigates account billing inquiries, reviewing documentation for completeness and accuracy, including CPT and ICD-9 coding, physician data, insurance coverage, TOA and other data.
• Prepares appropriate documentation for account inquiry and resolution.
• Maintains a database of account inquiry information and generates reports and summaries as requested.
• Investigates causes for denials and utilizes established protocols to effect satisfactory resolution.
• Communicates with patients and other appropriate parties regarding open accounts, incorrect information, installment payment arrangements, etc.
• Accounting and/or financial reporting experience preferred.
• Prior supervision experience helpful.

Pride Global offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts.