Medical Biller

Company: Ohio ENT & Allergy Physicians
Location: Columbus
Posted on: May 28, 2023

Job Description:

Description: Position has Work From Home (Remote) potential ONLY for candidates living in Ohio. Summary of Duties: Medical Biller will be responsible for reviewing and approving CPT & ICD-10 codes entered by providers electronically, working denials, answering patient phone calls and working outstanding insurance A/R. Supervision & Reporting: Reports to Billing Manager. Essential Functions: --- Must have strong knowledge of CPT and ICD 10 coding guidelines, Modifier usage and CCI bundling edits. --- Review and submit accurate claims to various insurance companies either electronically or by paper. --- Answers questions from patients, clinical staff and insurance companies. --- Identifies and resolves patient billing issues. --- Evaluates patient's financial status and establishes budget payment plans. --- Reviews denials from insurance companies and prepares appeals. --- Reviews rejected claims and corrects errors to facilitate successful submission of claims. --- Participates in educational activities and attends monthly staff meetings. --- Conducts self in a professional manner. --- Maintains confidentiality and adheres to all HIPAA guidelines and regulations. PM20 Requirements: Education: High School Diploma or GED required. Skills/Experience: --- Candidate should have a minimum of 1 year on the job medical billing experience or certification through AAPC or AHIMA. --- Excellent oral and written communication skills required. --- Knowledge of GE-Centricity/Athena practice management software beneficial but not required. --- Knowledge of Microsoft Office software beneficial but not required. --- Knowledge of basic medical coding and billing. --- Ability to operate a computer and basic office equipment. --- Ability to operate a multi-line telephone system. --- Skill in answering a telephone in a pleasant and helpful manner. --- Ability to establish and maintain effective working relationships with patients, team-members, and other employees. --- Must be well organized and detail-oriented. Environmental/Working Conditions: Normal office environment. In-office training is required for the initial 12-16 weeks Hours of Operation 7AM to 5PM M-F . 10hr shifts or 8hr shifts available for Full-Time position. Occasional overtime may be required. Physical Demands: Requires sitting and standing associated with a normal office environment. Manual dexterity needed for using computer keyboard. Responsibilities, skills and working conditions may change as needs arise. PI

Keywords: Ohio ENT & Allergy Physicians, Columbus , Medical Biller, Healthcare , Columbus, Ohio