Position Summary

The Medical Billing Representative I provides support and reports directly to the Medical Billing Supervisor. A member of the Finance team is responsible for the timely and accurate entry of billing information, ensuring the security of patient information, medical records and compliance with HIPAA regulations. This position ensures the implementation of Finance policies, procedures and business systems, including the attainment of performance goals for overall first-in-class customer satisfaction.

Responsibilities

Uphold and nurture an environment of direct, timely, and honest communication.

Reconcile all charges and data entered into the system assuring 100% data entry accuracy; assure correct provider, facility, place of service, medical service and coding are billed.

Submit claims to insurance companies on a daily basis.

Evaluate and ensure accuracy of patient balances.

Monitoring and pursuing delinquent accounts on a weekly basis.

Preparation and transmission of patient statements.

Process patient credit card payments as needed.

Posting patient payments.

Answer billing inquiries from patients, staff, and resolve complaints

Assist in managing A/R aging to include appeal, trouble shoot, prepare denied claims for rebilling, inquire and correct unpaid claims for re-submission, on a daily basis.

Communication with providers, supervisors and staff regarding processes.

Provide weekly communication with management regarding work status.

Back up coverage for Medical Billing functions and colleagues as needed.

Attend department meetings or other related meetings as required.

Knowledge, Skills and Abilities

Knowledge of Organization's mission, vision and goals and execution of policies and procedures.

Knowledge and compliance with HIPAA regulations, ensuring patient confidentiality at all times

Ability to maintain the highest level of confidentiality, integrity and ethical practice.

Commitment to providing exemplary customer service.

Demonstrates ability for proactive problem solving and imagination within the scope of responsibilities.

Strong organizational, administration, presentation, project management, and communication skills (both verbal and written) with excellent interpersonal skills.

Strong Microsoft Office skills with advance knowledge Microsoft Excel a plus.

Proven ability to develop strong professional business and customer/client relationships.

Ability to manage time and resources.

Demonstrates professional and respectful conduct.

Required Education and Experience

High School diploma (required).

Medical Revenue Cycle experience, 2 years minimum (required).

Bilingual in English/Spanish (preferred).

Fedcap

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Medical Billing Representative I