Medical Biller

About Us:

Comprehensive Primary Care (CPC) is a collection of twelve office locations offering primary care for every stage of life. We’ve been part of the communities we serve for years – and in some cases decades. Together we strive for healthy neighbors across northern Virginia, eastern Maryland, and the District of Columbia.

The idea behind primary care is to provide a go-to medical home for every patient. We operate much like the old-fashioned generalists of the past – but with a distinctly contemporary approach to medicine. Your CPC primary care providers work to get to know you, your medical history and your needs, and plays an important role as the key first contact in your wellness decisions.

We offer a diverse work experience that empowers colleagues for career success. In addition to skill and experience, we also seek to attract and retain colleagues whose beliefs and behaviors are in alignment with our core values of collaboration, innovation, caring, integrity, and accountability.

Our Values:

• Make health care easily accessible and readily
• Maintain a welcoming environment for all
• Listen to and respect the unique needs of each patient
• Respond quickly and maintain open, multi-level communication with each patient
• Encourage whole families, extended families and friends to take charge of their
• Provide consistent high-quality health care
• Invest in professional development for providers and staff
• Maintain a safe and supportive working environment for all

About the Role:

The medical biller performs various functions, including helping to foster smooth operations in the health organization where they work. The person should be able to multi-task, have strong communication skills.

Essential Job Functions:

• Provide supervision and direction to ensure the office carries out its daily billing duties and maintains business efficiency.
• Monitor, guide, and ensure billing activities are conducted in a manner that maximizes accurate, timely filing of claims.
• Input insurance and accurate patient information into computer for billing purpose
• Collect daily payments (such as copay, balance, and deductible) and batch for billing department
• Ensure and uphold the confidentially requirements of all patient records and manage all daily task and activities consistent with HIPAA, state and federal laws and regulations, as well as the offices’ policies and regulations regarding confidentiality and security.
• Interact positively with others in an office/service environment with excellent customer skills
• Actively engages with billing, front desk, and provider teams to optimize billing and collections practices across the organization.
• Ensure all actions, job performance, personal conduct and communications always represent the organization in a highly professional manner.
• Uphold and ensure compliance with and attention to all CPC policies and procedures, as well as the mission and values of the organization.
• Review claims for accuracy and submit through billing system.
• Correct rejected, denied claims, and resubmit to insurance.
• Prepare, review and send patient statements
• Answer and resolve patient and provider billing calls, questions, and messages.
• Submit charges in a timely fashion.
• Collect co-pays and patient balances.
• Resolve patient billing complaints
• Answers questions from patients, doctors and insurance companies
• Send actions, telephone encounters to doctors, medical assistants if a correction is needed on a claim
• Send actions and telephone encounters to the front desk personnel if a correction is needed.
• Verify and post patient payments electronically and manually
• Maintains strict confidentially and adhere to all HIPPA guidelines and regulations
• Other duties as assigned
• To perform this job successfully, an individual should have knowledge of: Microsoft Suite (Word, Excel, Publisher, Outlook), and Electronic Medical Records (EMR)

FLSA: Non-Exempt

Education/Experience (Minimum Requirements):

• High school diploma or general education degree (GED); or one year of related experience and/or training; or equivalent combination of education and experience.
• Must have medical billing, insurance, and coding experience.
• Understand revenue cycle management.
• Have strong time management and organizational skills.
• Must have strong customer service and conflict resolution skills.
• Must have strong trouble shooting skills.
• Must possess strong computer skills.
• Experience with eCW or similar EHR and medical billing certificate preferred.

Work Location: Rockville, MD/In person

Medical Clearance:

You must complete Comprehensive Primary Care’s medical clearance requirements, which include, but may not be limited to, evidence of Hepatitis B, Pneumococcal screen, and a Tuberculosis screen, or have an approved medical or religious accommodation that precludes you from being vaccinated against these diseases.

Comprehensive Primary Care values diversity as a core tenet of the work we do and the populations we serve. We are an equal opportunity employer, indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.

We consider an individual’s qualifications, skillset, and experience in determining final salary. This role is eligible for health insurance, life insurance, retirement benefits, paid time off, including vacation and holiday pay. The actual offer will be at the company’s sole discretion and determined by relevant business considerations, including the final candidate’s qualifications, years of experience, skillset, and geographic location.

EEO

CPC is committed to a policy of equal employment opportunity, and does not unlawfully discriminate against employees or applicants for employment on the basis of an individual’s race, color, religion, creed, sex (including pregnancy, sexual orientation, genetic information and gender identity), national origin, age, physical or mental disability, gender identity, genetic information, marital status, military status, lactation, or any other category protected by federal and applicable state laws. This policy applies to all aspects of the employment relationship, including hiring, placement, compensation, promotion, transfer, disciplinary action, layoff, return from layoff, training, social and recreational programs, and all other terms, conditions, and privileges of employment.

CPC will not tolerate discrimination or harassment based upon race, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, marital status, genetic status, family responsibilities, protected veteran status or other status protected by applicable Federal, state, or local law.

Salary : $19 - $21