Medical Biller

USPI, INC.; Mantua Township (NJ); On-site; USD 40,000 - 49,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401k retirement plan

Paid time off

Health savings accounts

Job summary

Select Surgical Center at Kennedy in New Jersey is seeking a full-time Medical Biller to oversee the entire billing process, from submitting claims to insurance to driving insurance collections. The role works closely with our coding specialist to ensure accuracy and quality control, leading monthly coding audits.

Required are at least 3 years in medical billing, extensive knowledge of CPT codes and billing practices, and excellent communication.

Qualifications

• High School Diploma or equivalency is required.
• At least 3 years of experience in medical billing with knowledge of managed care, Medicare, Medicaid, Workers' Comp, and commercial plans.

Responsibilities

• Electronically submit patient procedure bills to third party payers.
• Postings of payments from payers or patients.
• Process rejected and denied claims.
• Contact insurance companies to collect payments.
• Monitor AR aging and collections.
• Interpret managed care contracts, Medicare/Medicaid, and Workers' Comp.

Skills

Medical terminology

CPT codes

Independent work

Time management

Discretion / confidentiality

Verbal & written communication

Customer service

Critical thinking

Organization

HIPAA knowledge

Microsoft Office

Education

High School Diploma or equivalency

Tools

Microsoft Office

Job description

Medical Biller

Select Surgical Center at Kennedy is hiring a full time Medical Biller. Welcome to Select Surgical Center at Kennedy. At Select Surgical Center at Kennedy, we provide first-class surgical services for local communities and recognize our employees as our number one assets. We focus on offering a high quality, ambulatory care alternative to a hospital for surgical procedures. Our facility is accredited by Accreditation Association for Ambulatory Health Care.

The Medical Biller is responsible for overseeing the entire billing process for patient accounts, from submitting all billings to insurance in a timely manner, to working with our coding specialist to ensure that all cases are coded correctly, leading monthly coding audits, and taking the lead role in driving insurance collections.

Essential Job Duties and Responsibilities include the following:

• Electronically submit patient procedure bills to third party payers
• Perform timely and accurate postings of payments received from third party payers and/or patients
• Perform timely and accurate processing of all rejected and denied claims submitted to third party payers
• Contact insurance companies to collect outstanding payments
• Monitor and collection of AR aging
• Knowledge of how to interpret a managed care contract, Medicare and Medicaid, and Workers Compensation claims is a must
• Identification of accounts that have been either under or over paid
• Issuing credit balance information either to the insurance carrier or the patient
• Excellent communication and negotiation skills
• Ability to work independently and interdependently with other business office staff
• A professional demeanor and appearance
• Works well in stressful environment and in situations that demand patience

Required Skills:

• High School Diploma or equivalency
• At least 3 years of experience in medical billings, with an extensive knowledge of claims reimbursement and collection efforts for Managed Care, Medicare, Medicaid, Workers Comp, Commercial plans, etc.
• Extensive knowledge of billing, collections and reimbursement of claims processing
• Fluent in medical terminology and CPT codes
• Ability to work independently
• Organization, time management and task prioritization abilities
• Ability to be discreet and maintain the security of patient information
• Excellent verbal & written communication skills, and interpersonal skills
• Excellent customer service skills, always demonstrating professionalism
• Comfortable utilizing critical thinking skills
• Proficient with Microsoft Office products
• Understanding of healthcare specific policies, such as HIPAA regulations
• Must be able to work onsite. NOT a remote position.

Pay Range: $28.96/hr - $35.48/hr (Wages are determined based upon a number of factors including, but not limited to, an individual's qualifications and experience.) Benefits USPI offers the following benefits, subject to employment status:

• Medical, dental, vision, disability, and life insurance
• Paid time off (vacation & sick leave) – Starting PTO accrual is 15 days per year.
• 401k retirement plan
• Paid holidays
• Health savings accounts, healthcare & dependent flexible spending accounts
• Employee Assistance program, Employee discount program
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.

At USPI, we create relationships that create better care. We partner with physicians and health care systems to provide first class ambulatory solutions throughout the United States. We are committed to providing surgical services in the most efficient and clinically excellent manner. USPI is committed to, and proud of our inclusive culture. An inclusive culture, in our view, is respectful of differences and nurtures and supports the contributions of each individual, while also embracing and leveraging diversity. A diverse workforce, combined with an inclusive culture, makes USPI stronger and better able to meet the needs of our diverse patient and physician population.