The Patient Biller is responsible for accurately processing inpatient and outpatient claims to third party payers, following all mandated billing guidelines. He/she is responsible for ensuring Timely Filing guidelines are met. Provide quality control checks on paper claims; process tracers, denials and related correspondence; initiate appeals; draft, compose, and submit appeal letters specific to coding issues consistent with the most updated American Medical Association Current Procedural Terminology. The Biller must have the ability to perform all required duties within the patient accounting systems. The Biller may serve as a primary source for Customer Service assistance and ensuring customer satisfaction. He/she must demonstrate strong interpersonal skills in order to address and resolve patients' concerns. The Customer Service Patient Biller will handle a high volume of incoming customer service calls in a call-center environment. This position requires a general knowledge of overall Business Office functions. He/she must demonstrate a positive demeanor, good verbal and written communication skills, and must be professional in both appearance and approach. Skilled in the usage of all Microsoft and other programs as defined by the Faculty Practice Group, Physicians' Billing Office Management Staff.
Job Qualifications Detailed knowledge of medical terminology and its applications. Skill in reading correspondence, charged documents, EOB's and all other insurance forms. Two years recent medical billing experience in physicians' office or clinic with Medi-Cal, Medicare, Managed Care, and PPO insurances. Knowledge of on-line registration procedures including payor data and financial classes. Frequent use of computer, fax, copier, printer, calculator, telephone, other general office appliances. Knowledge of MS Word and MS Excel software. Need 3 years + experience.
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UCLA Health System - 7 months ago