Medical assistant/biller job description

We want you on our team... Clark Regional Medical Center located in Winchester, a 20 minute drive from Lexington, KY is searching for a fulltime medical billing assistant for our clinics.

We are committed to serving the needs of our community and our region with exceptional quality and we are passionately focused on our patients. We consider quality more than just a set of criteria. It is a way of life for Clark Regional Medical Center encompassing everything we do. This is an exciting time to join our team as we continue to grow and expand with new services.

At Clark Regional, we believe in building careers. That is why we offer an excellent tuition reimbursement program, competitive pay, a generous paid time off program, flexible spending account plan, choice of health insurance plans, dental, vision, life, disability plans, discounts in our café and various discounts in our community, traditional and Roth 401 (k) plans with a match, and free parking on our beautiful campus.

Simply put, our employees are the heart and soul of our organization.

Essential functions of position include, but are not limited to:

1. Data Entry required for claims processing, create and drop claims as Providers lock encounters

.2. Enter Billing notes in Athena

3. Responsible for resolving patient billing questions and concerns regarding outstanding claim balances regarding co-pays, deductibles, and co-insurance

.4. Establish Payment plan agreements as needed.

5. Print billing summary for medical records release and itemized summaries of charges as requested by patient

6. Review/respond to/resolve claim scrubs, front-end denials, and appeals as designated by Market Billing Coordinator, including providing feedback and assistance to clinics in preventing the recurrence of problematic claims.

7. Researching claims denied for prior authorization and attaching authorizations and needed attachments to process claims

8. Process returned mail and correct addresses/notify clinics of invalid address on file

9. Review provider letters from 3rd party carriers and handle or route to appropriate person for processing.

10. Work on special projects, as needed, and other duties as assigned.

11. Maintain professional demeanor at all times with patients, caregivers, physicians and co-workers.12. Ensure compliance with all relevant regulations, standards, and laws.13. Assumes other duties as assigned.

Required Skills• CPC Coursework or CPC Certification or equivalent preferred.• Technical proficiency with computers, Microsoft Office, and medical software systems (PM/EHR).• Ability to follow written procedures.• Excellent written and verbal communication skills.• Attention to detail and organizational skills.

Minimum EducationHigh-school diploma or higher.• 1-2 years of medical billing experience in a Physician office or clinic setting preferred

Job: **Please select a valid job field*

Organization: **Clark Regional Physicians Practices*

Title: Medical Billing Assistant

Location: Kentucky-Winchester

Job DescriptionJob description

Cardiology Consultants of Philadelphia is a professional medical organization committed to the healing mission of Medicine. CCP specializes in providing comprehensive Cardiology care and currently has over 30 locations throughout the Philadelphia area. We are currently hiring for a full time Medical Biller for our West Chester, PA location.

Please note this role is entitled to a $500 sign-on bonus.

Responsibilities:

• Code and enter all patient visits, tests, etc.
• Ensure the accuracy of all patient information in the billing system.
• Ensure the timeliness of all charges.
• Verify, adjust, and correct bills to ensure accuracy and consistency.
• Ensure compliance with all federal, state, and third party billing requirements, rules, and regulations.

Requirements

• Must have at least 3-5 yrs experience in a medical office setting, preferably in Cardiology
• Must have knowledge of different insurances
• Must have the ability to multitask
• Computer knowledge is a must
• Experience with an EMR system is a plus
• Must be well spoken, friendly, and outgoing

Benefits

• Cardiology Consultants of Philadelphia provides medical, vision, dental, 401k, profit sharing, LTD, generous PTO, and paid holidays.

Job Type: Full-time

*If you are hired, and assuming your employment is in good standing, you will receive the sign-on bonus. The bonus will be paid to you no later than 30 days following your start date. In the event that you voluntarily terminate your employment or the Company terminates your employment for cause within 6 months of your date of hire, you will be required to repay the full amount of your sign-on bonus.

Working under the supervision of the Central Billing Department Supervisors will share the responsibilities of being accessible to physicians, staff and patients regarding billing questions; assures that all billing functions are completed in a timely fashion and develops billing goals. Responsible for accurately coding provider's outpatient and inpatient visits based on the documentation provided and abstracting accurate and complete patient care data to ensure optimum and timely reimbursement. Applies knowledge of specialized information specific to coding and medical terminology according to all coding guidelines.
Required Skills/Qualifications/Training/Experience:

* Minimum of 1-2 years of medical billing experience in either charge, payment or follow-up work
* Minimum of 1-2 year of coding experience for primary care, medical and surgical specialties or secured CPC, CCS-P coding certifications.
* Excellent written and oral communication skills with attention to detail
* Excellent interpersonal and organizational skills
* Competency with ICD-10 and CPT coding guidelines
* Ability to problem solve complicated claims
* Has strong time management skills
* Able to multi-task various projects assigned.
* Knowledge of anatomy, physiology and pathology of disease processes and medical terminology
* Experienced in ICD-10 CM and CPT coding systems, guidelines and conventions, Coding Clinic, and CPT Assistant guidelines

Preferred Skills/Qualifications/Training/Experience:

* Computer proficient
* Strong interpersonal communication skills
* Command of verbal and written English
* Flexible, highly motivated, capable of keeping abreast of constantly changing regulations, guidelines, insurance billing requirements, annual coding updates and internal data needs
* Ability to interact with co-workers and physicians to resolve coding, documentation and workflow issues

Educational Requirements:

* High school diploma or equivalent

License/Certification:

* CPC or AHIMA coding certification

Age Specific Criteria:

* Ability to effectively communicate to all age levels served within the scope of the position/assigned areas.

Ability to Meet Job Performance Expectations:

* Must have the ability to perform the essential functions of the position without posing a direct threat to the health and safety of themselves or other individuals in the workplace, with or without a reasonable accommodation.

Report to: Revenue Cycle Supervisor

Manages: N/A

Sturdy Memorial Hospital is an equal employment opportunity employer. There is no discrimination because of race, color, creed, age, gender, sexual orientation, national origin, veteran status or disability.

Please note: For the protection of the patients, employees, visitors and all who enter our facilities, Sturdy Memorial requires all employees to be fully vaccinated for COVID-19, with limited exemptions, as a condition of employment.