Medical Biller- Primary Care

LOCATED IN CLARKSTON, MI 48346

Job purpose

Responsible for coding and billing office services, submitting claims, performing following up with insurance companies, and assisting patients with payments and questions.

Duties and responsibilities

·         Verify accuracy of medical record documentation and assign appropriate CPT codes

·         Review ICD10 codes for accuracy, sequencing, and specificity

·         Add modifiers as appropriate

·         Submit clean claims for payment

·         Appropriately and correctly identify errors and refile denied/rejected claims

·         Answers questions from patients, providers, staff and insurance companies

·         Identify and resolve patient billing complaints

·         Process patient payments and prepare daily deposits

·         Participate in educational activities, attend staff meetings, and contribute to the PCMH model of care

·         Conducts self in accordance with the employee manual and maintain strict confidentiality policies

·         Other duties as assigned

Qualifications

·         High School Diploma or GED.

·         Certified Professional Coder with minimum two years experience (Preferred)

·         Maintain CEU’s for accreditation

·         Complete knowledge of ICD-10, CPT, CPTII and HCPCS coding and documentation requirements

·         Medical Terminology

·         Electronic Medical Record (EMR) software experience

·         Knowledge of administrative and clerical procedures including systems such as word processing, spreadsheets, and managing inventory

·         Knowledge of principles and processes for providing customer service

Working conditions

·         Ability to accept criticism and dealing calmly and effectively with high stress situations

·         Attention to detail, accuracy, and thoroughly completing work tasks

·         Being reliable, responsible, dependable, and fulfilling obligations

·         Willingness to take on responsibilities, challenges, and changes

·         Being pleasant with others on the job and displaying a good-natured, cooperative attitude

Tools and Technology Used

·         Calculators or accessories

·         Photocopiers and Scanners

·         Computer System/Internet/Email

·         Electronic Medical Record software

·         Microsoft Office Suite (Excel/Word)