Biller

Location: Shalom Medical

Position: Biller

JOB TITLE: Biller

DEPARTMENT:Billing

SUPERVISORS:Office Manager and Billing Manager 

SUMMARY

Under the general direction and supervision of the Billing Manager, this position performs patient billing processes, to include, but not limited to, billing and third-party payer filings, review of superbills or electronic equivalent, review and reconciliation of invoices for patient-related ancillary services, insurance verification, coding, etc.

QUALIFICATIONS

EDUCATION:

High School Diploma or Equivalent. Certification through American Health Information Management Association or its equivalent is preferred.

EXPERIENCE:

Two years’ experience in billing and collections required, in a health care setting preferred. Competent in working with culturally diverse populations. Experience in Finance may substitute for billing and collections experience.

DUTIES AND RESPONSIBILITIES:

1. Reviews superbill or electronic equivalent for accuracy and completeness in coding and charging.

2. Enter patient fees and codes into a practice management system.

3. Runs and verify Daily Close/End of Day reports.

4. Receives, processes and posts hospital charges.

5. Processes patient statements.

6. Processes patient third party billings.

7. Maintains patient accounts and billing files.

8. Assists with investigating, processing and resubmitting patient third party explanation of benefit statements.

9. Determines and processes patient fee adjustments.

10. Backs-up Dental Billing Specialist.

11. Responds to questions concerning patient accounts.

12. Monitors patient account receivables and identifies and refers delinquent accounts to Patient Account Specialist.

13. Reviews and reconciles invoices for patient ancillary services (laboratory, radiology and pharmacy).

14. Remains current with standards of health care billing practices.

15. Assists administrative support staff:

16. Processes incoming mail and outgoing mail

17. Complies with the center’s policies and procedures.

18. Operates specialized office equipment.

19. Participates in continuous quality improvement activities.

20. Other duties assigned by the Billing Supervisor.

KNOWLEDGE:

1. General accounting skills. 

2. Knowledge of CPT and ICD-10 codes and use of automated information management system software.

SKILLS:

1. Technically proficient computer skills.

2. Thorough knowledge of common office equipment (copier, fax, printer, etc.).

3. Excellent oral and written communication skills.

4. Ability to organize and prioritize tasks. 

5. Ability to work under pressure and meet deadlines. 

6. Strong analytical, attention to detail and problem-solving skills.

7. Ability to work independently and as a team member. 

PHYSICAL DEMANDS:

Requires short periods of moderate lifting, pushing or pulling objects up to twenty pounds in weight. Clear diction and acute hearing are necessary for effective communication with the staff and the public. 

WORK ENVIRONMENT:

General medical office/clinic conditions, clean working conditions where accident and hazards are negligible.

Please note this position is posted on behalf of our partner practices. This individual will be working at the specific practice that is mentioned in the above details and will not be a direct employee of Aledade, Inc. so will therefore not be eligible for the benefits available to Aledade employees.