Senior Medical Biller needed for moderately difficult work involved in medical billing, and includes responsibility for performing and/or supervising a variety of medical insurance and coding duties. The work may require a general understanding of specific laws related to medical insurance billing, office rules, procedures and policies.
Assigns work, reviews and records work done, and instructs new employees in specialized medical insurance billing and related record keeping activities;
Has charge of entering information regarding medical billing in a prescribed manner;
Supervises the verifying and accuracy of individual medical insurance billing records/balances;
Is responsible for the preparation of reports based upon medical billing activities;
Conducts routine correspondence on matters where policies and procedures are well defined;
Coordinates Medicaid, Medicare and private pay billing;
Maintains financial records related to billing for Medicaid, Medicare, patient billing and third party insurance including HMO's;
Has responsibility for answering provider questions regarding medical billing procedures and/or problems;
Has direct contact with insurance carriers and employers;
Answers family and/or residents questions regarding medical billing issues.
The above examples of duties are intended only as illustrations of the various types of work performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or a logical assignment to the position.
FULL PERFORMANCE KNOWLEDGES, SKILLS, ABILITIES, AND/OR PERSONAL CHARACTERISTICS: Good knowledge of the provisions of standard insurance policies and the applications thereof; good knowledge of modern methods used in maintaining medical
Insurance financial records and reports and medical billing procedures; good knowledge of office terminology, procedures and equipment; good knowledge of business arithmetic and English; good knowledge of Medicaid/Medicare; ability to use alpha/numeric keyboard accurately at a satisfactory rate of speed; ability to plan and supervise the work of others; ability to make arithmetic computations rapidly and accurately; ability to write legibly; ability to get along well with others; mental alertness; high degree of accuracy; neatness; tact and courtesy.
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
MINIMUM QUALIFICATIONS: Graduation from high school, AND:
1. Possess an Associate's Degree, with a major in accounting, business, math, or related field, AND (5) years of full-time, paid experience in medical billing, three (3) years of which shall have dealt with the processing of medical insurance accounts;