Medical Biller

DaMar Staffing; Annapolis (MD); On-site; USD 26,000 - 37,000; Full time

Job summary

DaMar Staffing in Annapolis, MD is seeking a Medical Biller - Patient Benefit Representative to verify insurance data, explain coverage and determine patient responsibilities. The role requires a high school diploma and at least three years in patient pre-services with CPT/HCPCS coding knowledge and strong MS Office skills.

The position involves coordinating with billing to obtain authorizations, educating patients on financial aid options, and ensuring accurate co-pay entries and demographics

Qualifications

• High school diploma or equivalent required.
• Minimum three years patient pre-services coordinator experience.
• Proficiency with computer systems and Microsoft Office (Word and Excel) required.
• Knowledge of CPT coding and HCPCS coding application.
• Clear verbal communication using appropriate terminology.

Responsibilities

• Obtain insurance coverage information and demographics before treatment.
• Educate patients on insurance coverage, benefits, co-pays, deductibles and out-of-pocket expenses.
• Assess patients' ability to meet expenses and discuss payment arrangements.
• Educate patients on financial assistance programs and assist with forms.
• Complete Patient Cost Estimate forms based on diagnosis and coverage.
• Complete reimbursement and liability forms for patient review and signature.
• Forward information to the billing office.
• Obtain pre-authorization or referral approval codes prior to each treatment.
• Review patient balances and notify front desk of patients to meet with.
• Ensure correct entry of patient co-pay into the system.
• Verify and update demographics and insurance coverage at each visit per SOPs.
• Stay current on available financial aid.
• Develop relationships with financial aid providers.
• Network with providers to obtain leads to other aid programs.
• Adhere to confidentiality, HIPAA laws and guidelines with regards to patient records.
• Maintain manuals, logs, forms, and documentation.
• Perform additional duties as requested.
• Other duties as requested or assigned.

Skills

Microsoft Office

CPT coding

HCPCS coding

Verbal communication

Education

High school diploma or equivalent

Tools

Microsoft Office

Job description

Medical Biller - Patient Benefit Representative

Annapolis, MD

Pay From: $23 per hour

MUST:

• High school diploma or equivalent required


• Minimum three (3) years patient pre-services coordinator or equivalent required


• Proficiency with computer systems and Microsoft Office (Word and Excel) required


• Demonstrate knowledge of CPT coding and HCPS coding application


• Must be able to verbally communicate clearly and utilize the appropriate and correct terminology

DUTIES:

• Prior to a patient receiving treatment, obtains insurance coverage information and demographics


• Educates patient on insurance coverage, benefits, co-pays, deductibles, and out-of-pocket expenses


• Assess patients' ability to meet expenses and discusses payment arrangements


• May educate patients on financial assistance programs as well as identify sources and provide assistance with completing forms


• Based upon diagnosis, estimated insurance coverage, and financial assistance, completes Patient Cost Estimate form


• Completes appropriate reimbursement and liability forms for patient*s review and signature


• Forwards appropriate information and forms to billing office


• Responsible for obtaining from Clinical Reviewer, insurance pre-authorization or referral approval codes prior to each treatment


• Review patient account balance and notify front desk of patients to meet with


• Ensure that patient co-pay amount is correctly entered into system (or conveyed), allowing front desk to collect appropriately


• At each patient visit, verifies and updates demographics and insurance coverage in computer system according to Standard Operating Procedures (SOPs)


• Stays current on available financial aide


• Develops professional relationships with financial aid providers


• Networks with financial aid providers to obtain leads to other aid programs


• Adheres to confidentiality, state, federal, and HIPPA laws and guidelines with regards to patient*s records


• Maintains updated manuals, logs, forms, and documentation


• Performs additional duties as requested


• Other duties as requested or assigned

Quadrant is an affirmative action/equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, status as a protected veteran, or status as an individual with a disability. \"Healthcare benefits are offered to all eligible employees according to compliance mandated by the Affordable Care Act\".