Medical Biller and/or Certified Coder

DaMar Staffing; Jamestown (NY); On-site; USD 42,000 - 64,000; Full time

Job summary

The Chautauqua Center in Jamestown, NY seeks a Medical Biller and/or Certified Coder to ensure accurate, timely billing and patient data input in the Patient Management system.

Key duties include reviewing procedures, obtaining insurance documentation, processing payments, resolving denied claims, and liaising with insurers. A high school diploma is required; 3–5 years billing experience and EHR knowledge are preferred.

Qualifications

• Requires high school diploma or equivalent; associate degree preferred.
• 3–5 years of medical billing/office experience preferred.
• Knowledge of FQHC billing and CPT/HCPCS/ICD-10 is preferred.
• Strong communication and organization skills; bilingual helpful.

Responsibilities

• Process input of patient data and billing entries as directed.
• Obtain documentation for insurance verification/billing.
• Process payments and assist patients with billing questions.
• Resolve denied/pending claims and liaise with insurers.
• Transmit coded information to payers and send patient statements.

Skills

Interpersonal skills

Communication skills

Teamwork

Phone etiquette

Problem solving

Education

High school diploma

Associate degree preferred

CPT/HCPCS/ICD-10 knowledge

Tools

EHR software

Microsoft Office

Job description

Medical Biller and/or Certified Coder

Purpose: The Medical Biller position is primarily responsible for ensuring that all billing functions are completed with accuracy, timeliness and confidentiality. This includes overseeing the input of patient data and maintaining the Patient Management system. Including all other assigned duties by the Chief Financial Officer.

Job Duties:

• Carries out the mission of the organization
• Assures all patients experience a welcoming greeting and helpful conclusion to each encounter
• Adhere to all guidelines set forth in the finance policies
• Adheres to standard procedures at The Chautauqua Center
• Maintain good working relationship with staff and medical personnel
• Attend meetings as directed
• Availability to work variable hours including evening or Saturdays as needed

Medical Biller/Coder

• Reviewing medical procedures as documented and entering Charges as directed
• Obtain proper documentation for insurance verification/billing
• Payment entry as directed
• Assist patients in completion of sliding fee applications
• Track and resolve incomplete and expiring sliding fee applications
• Reconciles untracked encounters
• Resolution of denied and pending claims
• Liaison with insurance company representatives
• Transmitting coded patient treatment information to payers and other recipients
• Sending patient statements
• Assists patients with resolutions to patient billing problems
• Investigates and maintains Aging Receivables on insurance claims
• Coordinating insurance reimbursement of care providers
• All other duties assigned by Chief Financial Officer

Education/Skills/Qualifications:

• High school diploma or equivalent is required, Associates Degree preferred.
• 3-5 years of Medical Billing and office experience preferred.
• Knowledge of FQHC, CPT, HCPCS, ICD-10 preferred
• Excellent interpersonal and communication skills required
• Leadership and organizational skills essential
• Computer skills in Microsoft products
• Phone Skills - Proper phone etiquette is necessary since phone conversations with patients and insurance carriers will be frequent.
• Experienced with Electronic Health Record software
• Knowledge of medical office practices, procedures and equipment
• Knowledge of problem-oriented record keeping
• Correct English usage, spelling and grammar
• Knowledge of community resources
• Must continue to develop as a professional through in-services and education seminars
• Bilingual especially in Spanish not required but extremely helpful
• Must function independently, have flexibility, personal integrity and the ability to work effectively with patients, personnel and support agencies
• Must be able to work as a member of a team and independently
• Must be able to walk, sit, stand, bend, twist intermittently throughout the work day
• Subject to employer medical exam, reference check and criminal background check

The Chautauqua Center is an Equal Employment Opportunity employer and does not discriminate in employment opportunities or practices on the basis of race, creed, color, religion, sex, national origin, nationality, ancestry, age, disability or status as a disabled veteran or veteran of the Vietnam era, pregnancy, affection or sexual orientation, gender identity or expression, marital status, status with regard to public assistance, veteran status, citizenship or membership in any other legally protected class.