Medical Biller at SouthernCare New Beacon Hospice

Lombard, Illinois, United States -

Full Time

Start Date

Immediate

Expiry Date

21 Jan, 26

Salary

0.0

Posted On

23 Oct, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Medical Billing Software, Electronic Health Record Systems, Microsoft Office Suite, Medical Terminology, CPT Coding, ICD-10 Coding, HCPCS Coding, Insurance Reimbursement Procedures, Attention to Detail, Analytical Skills, Problem-Solving Skills, Verbal Communication, Written Communication, Discretion, Confidentiality

Industry

Medical Practices

Description

Description Our thriving ophthalmology practice needs an experienced biller who can take over the administrative duties involved with coordinating patient and physician schedules as well as file management, scanning and office organization. We are looking for a professional who believes that patients should be treated as people rather than numbers in a file, and who understands the value of compassionate service. The job includes significant amounts of multi-tasking, but the ideal candidate will know when to slow down, look patients in the eye and provide personalized service. There are advancement opportunities for the successful applicant Requirements Reviews patient bills for accuracy and completeness; obtains missing information. Knowledge of insurance, especially Medicare and Medicaid, rules and guidelines Identify insurance company or proper party (patient) to be billed; identify and bill secondary or tertiary insurances. Perform coding and billing tasks on a computerized health information technology (HIT) system. Utilize a combination of electronic health record (EHR) and paper patient records to perform billing duties; maintain an accurate, legally compliant medical record. Process claims as they are paid and credit accounts accordingly. Review insurance payments for accuracy and compliance with contract discounts. Review denials or partially paid claims and work with the involved parties to resolve the discrepancy. Manage assigned accounts ensuring outstanding/pending claims are paid in a timely manner and contact appropriate parties to collect payment. Communicate with health care providers, patients, insurance claim representatives and other parties to clarify billing issues and facilitate timely payment. Consult supervisor, team members and appropriate resources to solve billing and collection questions and issues. Travel to other clinic sites as needed. Maintain work operations and quality by following standards, policies and procedures; escalate compliance issues to supervisor. Prepare reports and forms as directed and in accordance with established policies. • Perform a variety of administrative duties including but not limited to: answering phones; faxing and filing of confidential documents; and basic Internet and email utilization. Provide excellent and professional customer service to internal and external customers. • Function as contributing team member while meeting deadlines and productivity standards. Other duties as assigned. Qualifications: Proficiency with medical billing software, electronic health record (EHR) systems, and Microsoft Office Suite. Strong understanding of medical terminology, CPT, ICD-10, and HCPCS coding systems, and insurance reimbursement procedures. Exceptional attention to detail and accuracy in data entry and claims processing. Excellent analytical and problem-solving skills to effectively resolve billing discrepancies and denials. Strong verbal and written communication skills for interacting with patients, insurance companies, and colleagues. Ability to handle sensitive patient financial and health information with the utmost discretion and confidentiality. Education and Experience Requirements: Education: High school diploma or equivalent is required; an associate's degree in medical billing or a related field is preferred. Experience: A minimum of 1–3 years of experience in medical billing or a similar role within a healthcare setting. Certifications: Certification in Medical Billing and Coding (e.g., CPC, CCS, or CPB) is a significant advantage.

Responsibilities

The Medical Biller will manage patient billing, ensuring accuracy and compliance with insurance guidelines. Responsibilities include processing claims, resolving discrepancies, and providing excellent customer service to patients and healthcare providers.