Billing Assistant for claims follow up and charge/payment posting

Job Description

Job Description

A premier full-service Dermatology Office in Tri-Valley Area is looking for exceptional candidates to fill the following position: billing assistant for insurance claims follow up and charges posting . Dynamic and engaging personality, honesty, capability to learn quickly, and ability to multi-task are required. Please submit a cover letter with your most recent resume.

EDUCATION, EXPERIENCE AND JOB REQUIREMENT:

1. High school diploma or equivalent.

2. Graduated in accredited medical billing program (please DO NOT apply if you don't hold a medical billing and coding certificate)

3. Minimum three-years of experience in medical practice.

4. Typing skills at least 50 wpm

5. Required to be fully vaccination again COVID- 19 including booster

6. Current CA Driver License in good driving record.

7. In-person work only. Please do not apply if seeking remote work.

Compensation: Commensurate with experiences.

ESSENTIAL SKILLS AND ABILITIES:

• Knowledge of CPT and ICD coding.
• Knowledge of commonly-used accounting concepts, practices, and procedures.
• Relies on instructions and pre-established guidelines to perform the functions of the job.
• Works under immediate supervision
• Polished professional with good interpersonal, grammatical, spelling, proof-reading, telephone etiquette, and social skills.
• Professional appearance and demeanor.
• Ability to manage multiple tasks simultaneously.
• Ability to deal effectively with diversity of individuals at all organizational levels.
• Attentive to detail, with a commitment to excellence and high standards.
• Ability to work as a team member.
• Well-organized.
• Strong computer skills.
• Minimal Typing Speed: 45 words per minute.

RESPONSIBILITIES INCLUDED BUT NOT LIMITED TO THE FOLLOWING:

1. Primary Responsibilities

• Take data provided by the physician and physician’s assistant and use to compile and submit claims to insurance companies and then subsequently bill patients.
• Use coded data to produce and submit claims to insurance companies.
• Working directly with insurance companies, health care provider, and patient to get a claim processed and paid.
• Reviewing and appealing unpaid and denied claims.
• Verify patients’ insurance coverage.
• Answering patients billing questions.
• Medical coders translate all diagnosis and medical procedures performed during the patient’s visit into a series of medical code sets that act as a universal language within the healthcare industry.
• Assure the billing process must be compliant with requirements set by the Health Insurance Portability and Accountability (HIPAA) and the office of Inspector General (OIG).
• Expedite insurance claims to ensure the healthcare provider will be reimbursed in a timely fashion.
• Files and submit claims electronically.
• Check to see if all procedures listed on insurance claims sent out by the healthcare provider also appear on the statement received from the insurance company.
• Review the payment for each procedure.
• If any discrepancies are found in the transaction, on behalf of the healthcare provider an appeal process must be executed.
• Accurately posts all Medicare EFT Insurance payments. Post accurate write-offs according to patient’s insurance plan.
• Balances daily business activities and closes out each day’s receipts for the deposit.
• Ensures payments are secured until posted.
• Generates necessary reports.
• Enters all charges on a daily basis.
• Be cross trained to other duties as needed.

2. Prepare Insurance Claim Forms

• Determine that procedure and diagnosis codes accurately reflect the services performed.
• Generate insurance claims weekly. Once a month, printing a Pending Claims Report to determine which claims are outstanding and unpaid more than 30-45 days after processing. These claims must be reviewed and re-billed regularly.
• Performing the day-to-day processing of billing system transactions to ensure that they are maintained in an effective, up-to-date, and accurate manner.
• Respond to billing questions from patients, medical offices, and insurance companies.
• Prepare and submit claims to various insurance companies utilizing both electronic and paper methods as required.
• Process payments from insurance companies and patients and daily batch posting.
• Identify and resolve billing issues.
• Perform various collection actions, including contacting patients by phone and correcting and resubmitting claims to third-party payers.
• Accounts receivable follow-up with insurance carriers.
• Manage accounts receivable as assigned.
• Correct rejections from clearinghouse Trizetto/Gateway.
• Assist with month-end processes.
• Verify that transactions comply with financial policies and procedures.
• Perform other tasks and duties as assigned.
• Utilizing Nextech software to perform daily tasks. Please note that the access to nextech is a privilege and the access will be changed from time to time with or without notice.

QUALITIES:

• Good organizational, problem-solving, and analytical skills; able to manage priorities, projects, and workflow.
• Polished professional with good interpersonal, grammatical, spelling, proof-reading, telephone etiquette, and social skills.
• Ability to use diplomacy and handle sensitive and confidential matters discreetly, exhibiting honesty, integrity, discretion, and sound judgment at all times.
• Creative, innovative individual who works well in fast paced and changing environments.
• Flexible and quickly adaptable to changing priorities.
• Having integrity and strong work ethnic.
• Effective personal communication skills.
• Good people skills. Ability to communicate with team members with a positive attitude, control negativity and promote team work at all times.
• Passionate for both personal and business success.
• Ability to work independently with minimal supervision and as a member of the team.
• Enthusiasm, attention to detail, the ability to meet aggressive deadlines, ability to work effectively with others in a fast paced, highly-productive environment.

Behavioral Standards:

We have adopted the following standards of behavior in addition to the job responsibilities listed above so we can create and maintain an optimal workplace environment. Your application for this position assumes you agree with and can maintain the following workplace values:

● Exceptional customer service

● Professionalism on the phone, in person, and with each other

● Respectful communication with patients, vendors, volunteers, and co-workers

● Effective teamwork

● Ability to maintain a safe work environment

● A positive attitude

● A good sense of humor and fun in the workplace

● Support of each other, the patients, and the practice

Principals only. Recruiters, please don't contact this job poster.

DO NOT contact us with unsolicited services or offers