H

Medical Biller

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Job Description - Medical Biller


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 Summary:
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.

Duties/ 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.
  • Performs other duties as assigned by manager.
     
Education/Certifications/Licenses
  • Education: High school diploma or equivalent; Associate’s degree in Health Information Management, Medical Billing and Coding, or a related field is preferred.
  • Medical Biller certification required or willing to get certified within 6 months from date of hire.

Education/Certifications/Licenses
  • Education: High school diploma or equivalent; Associate’s degree in Health Information Management, Medical Billing and Coding, or a related field is preferred.
  • Medical Biller certification required or willing to get certified within 6 months from date of hire.
Benefits:
  • 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.
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