Medical Biller

SUMMARY

Support daily functions within the Patient Accounts department ensuring accurate and timely billing and

posting of insurance and patient payments.

ESSENTIAL DUTIES AND RESPONSIBILITIES include but are not limited to the following:

• Initial review of encounter fonns
• Review encounters for completeness and accuracy
• Communicate inaccuracies to other departments within LCHC as necessary
• Encounter tracking; both in-coming and outgoing
• Charge entry of encounter forms
• Review end of day reports for corrections
• Post insurance and patient payments on a timely basis
• Prepare and process manual insurance claims
• Respond to patient inquiries; direct to appropriate personnel as necessary
• Provide patients with insurance benefit interpretations
• Prepare, review and send patient statements
• Evaluate patient's financial status and establish budget payment plans. Follow and report status of

delinquent accounts.

• Review accounts for possible assignment and make recommendations to the Director of Patient

Accounts. Prepare infonnation for the co11ection agency.

• Participate in educational activities and staff meetings.
• Maintain strictest confidentiality; adhere to all HIP AA guidelines/regulations
• Other duties as assigned

SUPERVISORY RESPONSIBILITIES: This position has no supervisory responsibilities.

QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.

The listing below represents the knowledge and skill required for this position. Must have the capability to

work with deadlines, work independently as well as part of a team.

EDUCATION

High School diploma or equivalent

EXPERIENCE/SKILLS:

Previous data entry experience required. Medical billing experience desired but not required. Previous

Knowledge ofCPT-4, HCPCS, JCD-9 codes, medical tenninology a plus. Data entry, computer, and phone

skills required. Must be well organized and detail-oriented.

PHYSICAL DEMANDS:

Requires sitting and standing associated with a nonnal office environment. Manual dexterity needed for

using a computer keyboard. This description is intended to provide only basic guidelines for meeting job

requirements. Responsibilities, skills and working conditions may change as needed.

All your information will be kept confidential according to EEO guidelines.