Medical Biller and/or Certified Coder

The Chautauqua Center, Inc. (branded as TCC Health); Jamestown (NY); Sur place; USD 42 000 - 54 000; Plein temps

Résumé du poste

The Chautauqua Center is seeking a Medical Biller/Coder to ensure accurate and timely billing operations. The role includes entering charges, verifying insurance, and assisting patients with billing issues.

Ideal candidates have 3–5 years of medical billing experience, knowledge of CPT/HCPCS/ ICD-10, and strong communication skills. This is an on-site role with opportunities to collaborate across departments.

Qualifications

• High school diploma or equivalent required; associates degree preferred.
• 3–5 years of medical billing/office experience preferred.
• Knowledge of FQHC, CPT, HCPCS, ICD-10 preferred.
• Excellent interpersonal and communication skills required.
• Leadership and organizational skills essential.
• Proficient with Electronic Health Record software and Microsoft Office.
• Speak Spanish is a plus but not required.

Responsabilités

• Review medical procedures as documented and enter charges as directed.
• Obtain proper documentation for insurance verification and billing.
• Process payments as directed and assist patients with billing questions.
• Assist patients with sliding fee applications and track aging receivables.
• Coordinate insurance reimbursement with care providers and payers.
• Liaise with insurance company representatives and transmit coded information.
• Maintain confidentiality and adhere to finance policies.

Connaissances

Billing

Communication

Teamwork

Phone etiquette

Bilingual Spanish

Formation

High school diploma or equivalent

Associates degree preferred

Outils

EHR software

Microsoft Office

Description du poste

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

Medical Biller and/or Certified Coder Continued:

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.