Job Description

JOB TITLE: Medical Biller

SUMMARY: The Medical Biller accurately inputs information into the billing system, processes insurance claims and billing by obtaining background information and making arrangements to obtain monies owed.

DUTIES AND RESPONSIBILITIES:

• Identifies and resolves billing queries/problems.
• Codes services provided utilizing CPT and ICD-10 coding.
• Posts payments and applicable credits to accounts while maintaining balance sheets.
• Researches and processes refund requests and overpayments.
• Prepares correspondence and/or collection letters.
• Communicates with payees to answer questions and provide additional supporting documentation.
• Prepares letters of appeal to insurance companies if the company refuses to pay contracted claims and/or denies a claim; submits documentation necessary to support claim; resubmits claims with corrections if needed for payment for all insurance payers.
• Enters data and charges from charts into the billing system; generates all required reports.
• Answers phones and assists patients with accounts.
• Generates and submits electronic claims and statements at designated intervals; corrects any errors for complete and accurate transmission of data.
• Abides by state collection and credit regulations; interprets and complies with state/federal regulations, laws, and guidelines.
• Performs additional duties including but not limited to copying checks received and recording payment, faxing information as required, generating retroactive authorization requests, and verifying medical eligibility.
• Performs other related duties as assigned by management.

QUALIFICATIONS:

• High school diploma or equivalent
• Two to four years related experience or equivalent
• Excellent written and oral communication skills
• 10-key by touch; keyboarding speed of at least 50 wpm.
• Knowledge of medical billing terminology.
• Ability to perform diversified clerical functions and basic accounting procedures.
• Ability to effectively communicate with people at all levels and from various backgrounds.
• Commitment to excellence and high standards
• Strong organizational, problem-solving, and analytical skills
• Ability to manage priorities and workflow
• Versatility, flexibility, and a willingness to work within constantly changing priorities with enthusiasm
• Acute attention to detail
• Ability to work independently and as a member of various teams and committees
• Excellent customer service skills
• Proven ability to handle multiple projects and meet deadlines
• Demonstrated ability to calculate figures and amounts such as discounts, interest, commissions, and percentages.
• Ability to understand and follow written and verbal instructions.

PHYSICAL DEMANDS AND WORK ENVIRONMENT:

Requires sitting and standing associated with a normal office environment. Manual dexterity needed for using a calculator and computer keyboard. This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, skills and working conditions may change as needs evolve.

LOCATION:

On-Site at Englewood, NJ

BENEFITS:

• Competitive salary and benefits package
• Health, dental, and vision insurance
• Retirement Plan
• Employee Assistance Program
• Paid Time Off
• Opportunities for professional development and growth
• Collaborative and supportive work environment

SCHEDULE:

• Monday to Friday
• 8:00 am - 4:00 pm or 9:00 am - 5:00 pm
• 8 hour shift

At Progressive Spine & Orthopaedics, we are committed to maintaining a safe and drug-free workplace. As part of our hiring process, all candidates who receive a job offer will be required to undergo a pre-employment drug test and background check. These steps are essential to ensure the safety and well-being of our employees and patients.

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