What are the responsibilities and job description for the Medical Biller/Collector position at Pacific Medical Clinic?
Medical Biller/Collector
SUMMARY: Accurately inputs information into the billing system, processes insurance claims and billing by obtaining background information and making arrangements to obtain monies owed.
DUTIES AND RESPONSIBILITIES:
· Abides by state collection and credit regulations; interprets and complies with state/federal regulations, laws, and guidelines.
· Answers phones and assists patients with accounts.
· Communicates with payees to answer questions and provide additional supporting documentation.
· Generates and submits electronic claims and statements at designated intervals; corrects any errors for complete and accurate transmission of data.
· Identifies and resolves billing queries/problems.
· Performs additional duties including but not limited to copying checks received and recording payment, faxing information as required, generating retroactive authorization requests, and verifying medical eligibility.
· Prepares correspondence and/or collection letters.
· Prepares letters of appeal to insurance companies if the company refuses to pay contracted claims and/or denies a claim; submits documentation necessary to support the claim; resubmits claims with corrections if needed for payment for all insurance payers.
· Performs other related duties as assigned by management.
QUALIFICATIONS:
· High school diploma or equivalent
· 1 to 2 years related experience or equivalent, work comp a plus
· Knowledge of medical billing terminology.
· Ability to perform diversified clerical functions and basic accounting procedures.
· Ability to effectively communicate with people at all levels and from various backgrounds.
· Commitment to excellence and high standards
· Strong organizational, problem-solving, and analytical skills
· Ability to manage priorities and workflow
· Versatility, flexibility, and a willingness to work within constantly changing priorities with enthusiasm
· Ability to work independently and as a member of various teams and committees
· Excellent customer service skills
· Proven ability to handle multiple projects and meet deadlines
· Bilingual skills a plus.
· Ability to understand and follow written and verbal instructions.
Job Type: Full-time
Pay: $15.00 - $17.00 per hour
Benefits:
- Dental insurance
- Employee assistance program
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Education:
- High school or equivalent (Preferred)
Experience:
- Medical Billing: 1 year (Preferred)
Work Location:
- One location
Work Remotely:
- No
Work Location: One location