Medical billing, receptionist job description

The Independent Physician Association of Nassau/Suffolk Counties, Inc., "IPANS", was founded in 2011 when the need to support and preserve the independent physician was identified.

IPANS is one of the fastest growing and largest multi-specialty Independent Physician Associations in the country and has a physician membership base of over 2,500 independent physicians. IPANS is a non-exclusive, not-for-profit physician-led IPA focused on helping independent physicians remain independent, while staying on the frontline of healthcare.

IPANS is managed by Practice Management of America, Inc. ("PMA") a managed service organization, ("MSO"), that specializes in payor negotiation and collaboration, full management of physician practices, billing and collections, clinical care management, group malpractice savings, human resources, payroll, group purchasing benefits and much more.

With nearly 50% of doctors becoming employed by hospitals and larger healthcare organizations because of budgetary concerns, IPANS offers you an alternative solution. The services we provide to our physicians relieve them of their administrative functions which allows them to focus on the most important aspect of healthcare, the care of their patients. Our goal is to improve the quality of healthcare to ensure patients receive the Right Care, at the Right Place, at the Right Time

Busy Medical Billing Company with locations in Commack, NY is interviewing for an experienced and professional Medical Biller looking to excel in their position and further their career. We are looking for hard-working, reliable individuals who take the initiative and take pride in their work. This is a team environment with both onsite and remote positions available.
Benefits and Compensation
Medical, dental, vision, life insurance PTO Quarterly bonuses based on merit 8 hour shift Monday through Friday Remote positions available for the right candidate, position will transition to onsite in Commack, NY
Hourly rate: $22.00 to $24.00/ hour


Candidates will be responsible for the following: THIS POSITION IS ON -SITE


DUTIES & DESCRIPTION
Medical Biller will be scrubbing progress notes and submitting claims electronically to the clearinghouse, printing paper claims when applicable
Medical Biller must have a strong knowledge of CPT and ICD-10 guidelines with both commercial and government carriers
Medical Biller will verify all Quality Measures are being met during the encounter and billed accordingly on the claim for annual MIPS reporting
Review patient accounts for accuracy
Posting of all EOBs
Medical Biller will have the ability to pull EOBs from multiple websites
Medical Biller will be aggressive in follow-up with carriers in the appeals process, working all denials, maximizing payments
Medical Biller must have a strong ability to maintain productivity daily, meet deadlines and goals, and maintenance of company established trackers
Proactively identify Smart Edits, correct and resubmit where applicable
Medical Biller will actively participate during weekly meetings, communicating trends and updates to all carrier regulations to the team
Medical Biller will alert management of inconsistencies with carrier payments based on established fee schedules
Medical Biller will be responsible for patient balance AR, contacting patients for collection
QUALIFICATIONS
High School Diploma
Medical Billing: 2 years (preferred)
Strong computer skills with knowledge of EMR systems, eClinicalWorks and Kareo preferred
Certified Professional Biller, CPB (preferred)
Exceptional communication and organizational skills
Must have working knowledge of CPT, ICD-10, Quality Measures, and HCC coding
Ability to multi-task
Proficient Analytical skills
Must be able to work both independently and as a team in a fast paced, high volume environment







PI

Who We Are:

With a legacy spanning over 20 years, Integrated Practice Solutions is the market leader in practice management software for chiropractic (ChiroTouch, ACOM Health), optometry (RevolutionEHR), and therapy practices (ClinicSource) across the United States. We are a growing and profitable, privately funded organization who stays ahead of the pack by constantly innovating, growing, and developing new products and services that serve the health and wellness profession. Our software helps practitioners create a positive in-clinic experience for patients, from scheduling to treatment to payment and insurance processing. Our vision - to be the most loved, most essential software and service provider for every practice - is not just words. These words reflect who we are as a company, and who we are as people.

RCM Department Overview: The Revenue Cycle Management (RCM) department helps doctors get paid for their services. From clearinghouse enrollments to patient accounts, to insurance claims, our RCM team members help practices grow and succeed financially.

Your Career Opportunity:

The Medical Claims Biller manages the timeliness and accuracy of scheduled EDI/Paper claim submissions for multiple billing company clients and report reconciliation process against billing software.

Your Areas of Accountability:

• Ensure all EDI/Paper claims are reviewed for accuracy prior to payor submission
• Audit and reconcile EDI claims batches to ensure payor acceptance and balancing
• Ensure software reports regarding unbilled claims are worked as scheduled and issues resolved
• Work effectively with clients/staff to resolve any payor edits and/or errors that effect timely claims submissions
• Report claims related issues to clients and/or staff for corrections
• Retain fax transmittal acceptance reports for all paper claims submitted via fax
• Ensure proper handling of timely filing submissions for paper claims with USPS tracking
• Review paper claims submissions to ensure accuracy prior to mailing
• Ensure medical record attachments are signed prior to submission
• Provide billing reconciliation reports to team lead/department manager
• Demonstrate high level of professional integrity when communicating with payors, clients, and other staff
• Consistently meet/exceed insurance billing benchmarks
• Provide swift escalation to clients and/or management that have negative implications related to claims submissions
• Comply with HIPAA guidelines regarding PHI
• Communicate department backlogs and develops action plans accordingly

Competencies for Success:

• Minimum of 2 years billing experience with EDI/Paper Claim Submissions
• Minimum of 2 years working with Clearinghouse claims processing
• Comprehensive understanding of claims requirements by payor
• Thorough knowledge of commercial, government, workman's compensation and Auto payor claim process
• Exceptional understanding and adherence with payor specific billing guidelines
• Exceptional organizational skills
• Ability to multi-task and deal with high volume claims processing
• Good typing skills and experienced with office productivity tools such as MS Word, Excel, and Outlook
• Prior knowledge of Chiropractic Billing and Chiropractic Software is a definite plus

IPS is an equal opportunity employer. All aspects of employment including the decision to hire, promote, discipline, or discharge, will be based on merit, competence, performance, and business needs. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.