Medical Biller - FT (40hrs/week) - Day Shift na Minidoka Memorial Hospital

Job Summary

Responsible for the timely submission of technical or professional medical claims to insurance companies. The position may be located in physician offices, hospitals, nursing homes, or other healthcare facilities.

Duties and Responsibilities

• Verifying authorizations are listed for needed procedures.
• Verifying eligibility edits and notify admissions with errors.
• Reviewing patient bills for accuracy and completeness, and obtaining any missing information.
• Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.
• Following up on unpaid claims within standard billing cycle timeframe.
• Checking each insurance payment for accuracy and compliance with contract discount.
• Calling insurance companies regarding any discrepancy in payments if necessary.
• Identifying and billing secondary or tertiary insurances.
• Reviewing accounts for insurance of patient follow-up.
• Researching and appealing denied claims.
• Answering all patient or insurance telephone inquiries pertaining to assigned accounts.
• Actively engage in quality improvement activities.
• Performs other duties as assigned.

Minimum Requirements

• High school diploma or equivalent.
• 1-3 years of experience in a medical office setting.
• Ability to communicate effectively in English, both verbally and in writing.

Preferred Requirements

• Associate's degree in Business Administration, Accounting, or Health Care Administration.
• Knowledge of business and accounting processes.
• Bilingual in English & Spanish.

Skills/Competencies

• Ability to read and comprehend simple instructions, short correspondence, and memos. 
• Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.
• Ability to add, subtract, multiply, and divide in all units of measure , using whole numbers, common fractions, and decimals. 
• Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.

Physical Requirements

Perceive the nature of sounds by the ear, express or exchange ideas by means of spoken word, perceive characteristics of objects through the eyes, extend arms and hands in any direction, seize, hold, grasp, turn, or otherwise work with hands, pick, pinch, or otherwise work with fingers, perceive such attributes of objects or materials as size, shape, temperature, or texture; and stoop, kneel crouch, and crawl. Must be able to lift 25 pounds maximum with frequent lifting, carrying pushing, and pulling of objects weighing up to 10 pounds. Continuous walking and standing. Must be able to identify, match, and distinguish colors.