• Medical Billing Specialist Physician Biller

    Job Locations US-OK-Oklahoma City
    Posted Date 2 weeks ago(2 weeks ago)
    Job ID
    2018-1187
    # of Openings
    1
    Division
    Valir Consulting & Billing
    Category
    Medicare Billing
  • Overview

    POSITION PURPOSE

    The Medical Billing Specialist submits accurate and timely claims to all insurance company(s) for payment of Physician/Professional Services.  Verifies primary and secondary insurance with system information and maintains accurate files according to Medicare and or other payer guidelines.  Accurately and timely communicates with clients/facilities regarding accounts receivable.

    Responsibilities

    POSITION PURPOSE

    The Medical Billing Specialist submits accurate and timely claims to all insurance company(s) for payment of Physician/Professional Services.  Verifies primary and secondary insurance with system information and maintains accurate files according to Medicare and or other payer guidelines.  Accurately and timely communicates with clients/facilities regarding accounts receivable.

    Qualifications

    POSITION REQUIREMENTS

     

    Licenses or Certifications: N/A 

     

    Total Education, Vocational Training, and Experience:  High School graduate or equivalent preferred.  Proficient typing and PC skills, general knowledge of accounting. Minimum one year relevant physician/professional billing experience which includes knowledge of Medicare, Medicaid, Mutual of Omaha, Trailblazers, Blue Cross, Managed Care and generic commercial insurance.

     

    PROTECTED HEALTH INFORMATION:

    Position has Full Access to Protected Health Information of patients

     

    SKILLS AND ABILITIES

    1. Must be able to manage a high volume of work while maintaining attention to detail and accuracy.
    2. Ability to multi task in a timely manner.
    3. Good judgment and resolution skills; Ability to adapt to changes in how information is processed
    4. Demonstrates excellent oral and written communication skills.
    5. Excellent organizational and prioritization skills; Uses time efficiently.
    6. Ability to proactively problem solve issues.
    7. Respond promptly to customer needs; Responds to requests for service and assistance; Meets commitments.
    8. Maintains confidentiality; Understands HIPAA regulations.
    9. Team Player; Listens to others without interrupting; Remains open to others' ideas and tries new things; Contributes to building a positive team spirit.
    10. Looks for ways to improve and promote quality; Demonstrates accuracy and thoroughness.
    11. Displays orientation to profitability and conserves organizational resources.
    12. Demonstrates knowledge of EEO policy; Shows respect and sensitivity for cultural differences.
    13. Works with integrity and ethically.
    14. Is consistently at work and on time and punctual to meetings.
    15. Knowledge of EOB’s, copay/coinsurance/deductibles, denial codes, insurance allowable, adjustments, write offs, and data entry skills preferred.
    16. Approaches others in a tactful manner; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.
    17. Meets productivity standards; Completes work in timely manner; Strives to increase productivity.

     

     

    Physical ReQUIREMENTS:

    Essential functions:

    Ability to speak, hear, and read English

    Ability to discern temperature, texture, size, and shape

    “Exceptional attendance is a requirement in order to fulfill role expectations

     

    CRITICAL DEMANDS:

    Lift up to 20# from floor to 36” and from 36” to 64” (Occasional)          Sitting (Constant)

    Walk up to .25 miles (Occasional)                                                                   Stand (Occasional)

    Sustained forward bending in sitting (Occasional)                                        Repetitive Squat (Occasional)                                         Kneel (Occasional)

    Repetitive Squat (Occasional)                                                                          Full body range of motion (Constant)

    Grasp of various sizes and weights up to 50# (Constant)                            Sustained squat (Occasional)

    Balance (Continuous) In walking, standing, carrying, moving patients, and equipment, etc.

    .

    ENVIRONMENTAL CONDITIONS

    Indoor climate-controlled environment.  Occasional travel with exposure to outdoor elements

     

    Working Conditions:

    Potential hazards include:

     

    Exposure to

    None

    Some

    Frequent

    Very Frequent

    Exposure to

    None

    Some

    Frequent

    Very Frequent

    * toxic/caustic chemicals

    X

     

     

     

    *blood or body fluids

    X

     

     

     

    *extreme conditions, hot or cold

    X

     

     

     

    *communicable diseases

    X

     

     

     

    *dust/fumes/gases (including asbestos)

    X

     

     

     

    *unprotected heights

    X

     

     

     

    *moving mechanical parts

    X

     

     

     

    *CRT (computer) monitor

     

     

     

    X

    *potential electric shock

    X

     

     

        

    *frequent, repetitive motions

    X

     

     

     

    *x-ray electro-magnetic energy

    X

     

     

     

    *Other (as listed)

     

     

     

     

    *high pitched noises

    X

     

     

         

     

     

     

     

     

    *needles or other sharp objects

    X

     

     

        

     

     

     

     

     

     

    MACHINES/EQUIPMENT USED

    Equipment used for patient care.  Office equipment such as computer, FAX, telephone, copier, calculator, etc..  Assumes responsibility for equipment, inventory, safety, and security of assigned facilities.  Equipment and keys checked out to employee is to be kept in working order and must report lost, broken, or stolen equipment immediately.