What are the responsibilities and job description for the Medical Biller position at Hoskinson Health & Wellness Clinic?
About:
Hoskinson Health & Wellness Clinic is a newly founded team-based physician-led, comprehensive health and wellness clinic in the beautiful area of Gillette, Wyoming. Our company was created to provide prospective healthcare resources to the community and meet the needs of our patient base.
Company Mission and Philosophy:
Hoskinson Health & Wellness Clinic is owned by physicians who have teamed together to help end discrepancies they have seen for decades in the healthcare space. Our mission is to help patients truly live better, healthier lives by providing comprehensive care through a variety of specialists and support services. HH&WC has an integrated regenerative & longevity philosophy that functions hand-in-hand with treatment planning, preventive care, and team collaboration on patient cases. We believe that patients are more than their diagnoses and deserve access to the best education and resources we can provide. To ensure this mission is met, we focus on integrating highly effective technology, encourage collaboration among the team, and take lower patient volumes to allow patients more time with our staff.
Job Overview:
The Medical Biller is responsible for processing and managing medical claims, ensuring accurate billing, and addressing issues related to payments and reimbursements. This role involves working with patient records, insurance companies, and healthcare providers to facilitate the billing process and resolve discrepancies.
Key Responsibilities:
- Review and process medical claims based on patient records, diagnoses, and procedures.
- Prepare and submit claims to insurance companies and other payers using electronic and paper methods.
- Ensure that all claims are submitted in compliance with payer guidelines and regulations.
- Verify that all charges, codes, and patient information are accurate and complete.
- Work with medical coders to ensure that diagnoses and procedures are correctly coded.
- Address any coding issues or discrepancies that may affect billing.
- Follow up with insurance companies and patients to address billing issues, denials, or underpayments.
- Provide information and support to patients regarding their bills, insurance coverage, and payment options.
- Resolve disputes and answer inquiries related to billing and claims.
- Monitor and track outstanding accounts and ensure timely follow-up on unpaid claims.
- Process patient payments, adjustments, and refunds accurately.
- Reconcile patient accounts and ensure that all transactions are recorded properly.
- Maintain accurate and up-to-date records of billing and payment activities.
- Ensure compliance with healthcare regulations, payer policies, and privacy laws (e.g., HIPAA).
- Assist with audits and provide documentation as needed.
- Generate and review reports on billing activities, claim status, and financial performance.
- Analyze billing data to identify trends, issues, and opportunities for improvement.
- Work closely with healthcare providers, billing departments, and insurance representatives to resolve billing issues and improve processes.
- Participate in meetings and training to stay informed about changes in billing practices and regulations.
Qualifications:
- Education: High school diploma or equivalent; Associate’s degree in Health Information Management, Medical Billing and Coding, or a related field is preferred.
- Experience: Minimum of 1-3 years of experience in medical coding.
- Experience with electronic health record (EHR) systems and coding software is preferred.
Skills:
- Strong knowledge of medical terminology, billing codes (CPT, ICD-10, HCPCS), and insurance processes.
- Excellent attention to detail and accuracy in billing and data entry.
- Proficiency in Microsoft Office and billing software.
- Strong communication and interpersonal skills for interacting with patients and insurance representatives.
- Good organizational and time-management skills.
- High level of professionalism and integrity.
- Ability to handle sensitive information confidentially.
- Strong problem-solving skills and ability to work under pressure.
Physical Requirements:
- Ability to sit for long periods of time 8-10hrs.
Working Conditions:
- This role will operate in a standard office environment.
- Some travel may be required for meetings or training.
- Occasional extended hours may be necessary to meet deadlines.
- Health Insurance: Company pays 100% of your health insurance premiums, which includes a low-deductible health plan through Cigna, Vision, and Dental.
- Additional Insurance: $50 employer monthly allotment for Disability, Life insurances, Cancer coverage, Accident policies, and more through a supplemental company.
- Retirement: Up to 8% match for retirement, no waiting period!
- Vacation & leave: Generous vacation and sick leave with accrual and carry-over opportunities.
- Continuing or Additional Education: HH&WC will assist in the professional development of all employees with HR approval.
The Clinic is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information. The Clinic is committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. To request reasonable accommodation to participate in the job application or interview process, contact Human Resources at 307-387-9850.
Salary : $50