Medical Biller / Receptionist

Performs billing of clinical services rendered, such as examinations, treatments, and procedures, to patients and government or private insurance carriers. Manages patient insurances, workers' compensation, and no fault. Verifies coverage from private insurance companies, workers' compensation companies, and no fault companies. Prepares insurance information to be sent to the billing company. Monitors payments from insurances through a relationship with the billing company. Understands and explains patients' benefits as needed.

Greets and assists visitors. Checks in patients and schedules appointments. Answers telephones and provides appropriate information or routes call to appropriate person.

Performs clerical tasks, as assigned, including but not limited to filing, coding, making phone calls completing forms and data entry. Assists in the organization and administration of company objectives and policies. Classifies information about illnesses, diagnoses, and treatment using standardized codes and guidelines.

General Accountabilities:

• Reviews clerical and personnel records to ensure completeness, accuracy, and timeliness.
• Performs other related duties as requested or assigned.
• Maintain the privacy of medical records.
• Verify insurance
• Provides information to insurance carriers or patients regarding patient accounts
• Notifies supervisor of ongoing problems
• Maintains files on all documentation such as charge slips, explanations of benefits, and patient information
• Performs other related duties as assigned or requested
• *The company reserves the right to add or change duties at any time

Job Qualifications:

• Minimum Field-of-Expertise: Medical services billing, experience with Medicare and private third-party payors, and computerized billing systems
• Preferred Experience: 2 years

Competencies:

• Problem Solving- Identifies and resolves problems time efficiently; Gathers and analyzes information; Develops solutions; Uses reason.
• Planning/Organizing- Prioritizes and plans work activities; Uses time efficiently; Plans for additional resources; Sets goals and objectives; Organizes or schedules other people and their tasks.
• Professionalism- Approaches others in a polite and tactful manner; Maintains composure and reacts well under pressure; Treats others with respect and consideration; Accepts responsibility for own actions; Follows through on commitments
• Quality- Demonstrates accuracy and thoroughness; Applies feedback to improve performance; Monitors own work to ensure quality.
• Dependability- Follows instructions; Takes responsibility for own actions; Keeps commitments; Completes tasks on time.
• Oral communication- Speaks clearly and persuasively; Listens and gets clarification when necessary; Responds informatively to questions.
• Written communication- Writes clearly and concisely; Edits work; Presents numerical data effectively; Able to read and interpret information.

Skills:

• Computer, photocopier, and fax machine savvy
• Knowledge of anatomy, medical terminology, and disease processes
• Knowledge of the workers' compensation board and their procedures
• Knowledge of no-fault procedures
• Knowledge of working with personal insurances
• Judgment and decision making
• Critical thinking
• Time management
• Multitasking
• Deductive reasoning
• Ability to work in a fast-paced rehab environment
• Able to look at the Accounts receivable daily and weekly to troubleshoot it and keep it at a minimal
• Be able to transcribe is a plus
• You must have excellent communication skills that encourage and motivate our patients'
• You must be proficient with the Microsoft Office and Adobe Reader