Medical Biller andor 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

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.

Required Experience:

IC