Medicare Biller

DESCRIPTION OF POSITON

This job description is a record of the essential functions of the listed job. The job description provides the employee, CEO, Human Resources, applicants, and other agencies with a clear understanding of the job, where it fits into the organization, and the skill and work requirements in relation to other jobs. Jobs are always changing to some degree and the existence of the approved job description is not intended to limit normal change and growth. The facility will make reasonable accommodations to otherwise qualified individuals who are capable of performing the essential functions of the job with or without reasonable accommodation. 

POPULATION SERVED

The position does not involve direct patient care for a population of patients ages 18 and older. Age specific experience and/or special training and/or expertise are not required to serve this population.

POSITION SUMMARY

Under general supervision of the CFO and/or Business Office Manager, the Biller may participate in any or all aspects of the patient accounts and receivable functions of the organization including billing, charge entry, collection, payment posting and credit balance resolution. He/she may reconcile daily reports. He/she may balance monthly transactions and provide summaries to finance department and administration. 

DUTIES AND RESPONSIBILITIES

• Track claims or charges and monitor third-party payers. 
• Inform billing Supervisor/Director of Business Office of any insurance issues (third party billing). 
• Update patient accounts. 
• Contact payers in order to obtain claim status consistently. 
• Ensure that all activities related to billing meet requirements. 
• Resubmit claims, file appeals/denials, and demonstrate in-depth knowledge of Medicare, Medi-Cal and other government insurance. 
• Perform other job related duties as assigned by Management. 

Minimum five years of paid Medical Billing/Collections experience is preferred. A high school diploma or equivalent is required. Must have experience with billing/claim submission and revenue cycle collections. Knowledge of patient accounting and business office procedures is required. Must have excellent mathematical, written, and verbal communication skills. At least five years of experience using DDE for Medicare, including submitting corrections and related tasks, is required.