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Sterling Area Health Center Medical Biller / Coder in Sterling, Michigan

Required: Experience in all aspects of medical billing.  ICD-10 coding preferred.  High school diploma & Billing / Coding Certificate. 

Essential Functions: The position plays a vital role in assuring that patient billing systems operate smoothly, timely, and efficiently.

Key Responsibilities:

  • Responsible for accounts receivable management tasks with the goal of maximizing reimbursements.
  • Processes, reviews, and transmits the billing of claims to insurance companies for all providers daily.
  • Assures patient insurability and enters all changes in the practice management system.
  • Review CPT codes, diagnosis codes, modifiers, provider, and location information on claims for accuracy.
  • Obtains, processes, and tracks prior authorizations for patient treatments.
  • Coordinates benefits with insurance companies to capture full payment amounts.
  • Keeps track of reimbursements from insurance companies and consults with reimbursement specialists on outstanding claims.
  • Follows up on rejection, errors, corrections, etc. from insurance companies.
  • Monitors patient overpayments and complete necessary refunds.
  • Monitors follow up with and collect past due balances.
  • Assist with daily deposits from self-pay and third-party payers.
  • Runs daily schedule and gathers all financial information for receptionist to collect.
  • Answers billing inquiries and questions from patients and/or insurance companies.
  • Attend meetings regularly with RCM and new billing & insurance changes.

     

Skills and Abilities:

  • Must be computer efficient and understand most commonly used insurance websites on how to verify eligibility, check claims process and enter claims as needed.
  • Communicates in writing and orally, in person and through electronic means with proficiency.
  • Excellent organizational skills and attention to detail.
  • Excellent time management skills with a proven ability to meet deadlines.
  • Knowledge of office administration, clerical procedures, and recordkeeping systems.
  • Proficient with Microsoft Office Suite with the ability to learn new or updated software.
  • Demonstrate HIPAA confidentiality and privacy at work and off duty.
  • Demonstrate customer focused interpersonal skills to interact in an effective manner with patients, practitioners, and families with diverse options, values, and religious and cultural ideals.
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