Medical Biller - NextStep

This is a Work Experience position available through EmployNV Youth Hub. All candidates will be considered after program eligibility is determined."

Company : Next Step Primary Care

Position Title : Medical Biller

Location : Las Vegas, NV

Hours : Part-time / Full-time

Pay : starting at $16.00 / per hour

Location Area : Las Vegas

Program : WEX

Job Description :

Generate and enter billing for all medical visits and ensure collection of payments, including the following :

1. Ensure successful entry of all medical visits into the practice management EHR Medical Billing System.

2. Reconcile all charges and data entered into the system assuring 100% data entry accuracy; assure correct provider, facility, medical service and coding are billed.

3. Assist the A / R Manager collect accounts receivable, including the following revenue sources : Medi-Cal, Medicare, PPO, HMO, Private Insurance and all other fee for service revenue.

4. Assist the A / R Manager as directed to appeal, trouble shoot, prepare denied claims for rebilling, inquire and correct unpaid claims for re-submission on a daily basis as necessary.

5. Request and follow up on additional information as needed for auditing of claims and all revenue reports including eligibility, benefits and provider information.

6. Submit claims to insurance companies on a daily basis as necessary.

7. File all correspondence into patient s chart.

8. Negotiate settlements for payments with insurance companies and courts with assistance of Billing Manager.

9. Audit claims daily to ensure timely collections. Review EOB s as directed to ensure compliance with billing practices.

10. Follow billing policy guidelines and documented procedures.

11. Consistently demonstrate and uphold CCCHC s principle of providing quality health and human services to the medically underserved and low-income populations in a culturally sensitive manner.

12. Other duties as assigned.

Special Knowledge, Skills, Abilities and Attributes :

Demonstrated ability to exercise sound judgment.

Ability to communicate clearly and concisely.

Ability to plan and be organized.

Ability to work well under pressure, take initiative and be flexible and cooperative.

Self-motivated and independently productive.

Ability to maintain confidentiality of patient information and Company records.

Ability to work effectively with both employees and managers.

Ability to convey a positive and professional image to patients and employees.

Professional appearance and demeanor.

Demonstrated proficiency in various PC applications, including E-mail, Microsoft Excel, and Word, Internet and networking devices.

Required to know, follow and enforce safe work practices, and be aware of company policies and procedures related to job safety, including safety rules and regulations.

Education and Experience Requirements :

Medical Billing Certificate Preferred

This posting was created by SBAM Natalia Rogers.