Job Description
Job DescriptionBenefits:
- 401(k)
- Dental insurance
- Health insurance
- Paid time off
- Profit sharing
- Vision insurance
Location: [Insert Location]
Job Type: Full-Time
About Us:
We are seeking a skilled and detail-oriented Medical Biller with strong expertise in Accounts Receivable (A/R), payment posting, and experience with the EMR system, eClinicalWorks. If you are passionate about accuracy, efficiency, and contributing to the financial health of a medical practice, we encourage you to apply.
Job Summary:
The Medical Biller will be responsible for managing the billing and revenue cycle processes for our cardiology office. This includes ensuring accurate claims submission, resolving A/R issues, posting payments, and maintaining compliance with insurance and regulatory requirements. The ideal candidate will have a strong background in medical billing, particularly in cardiology, and hands-on experience with eClinicalWorks.
Key Responsibilities:
- Accounts Receivable (A/R) Management:
- Monitor and follow up on outstanding claims and denials.
- Resolve unpaid or denied claims by identifying errors, correcting claims, and resubmitting them to insurance companies.
- Communicate with insurance companies, patients, and providers to resolve billing discrepancies.
- Conduct regular A/R reviews and provide reports to management.
- Payment Posting:
- Accurately post payments from insurance companies and patients.
- Reconcile payments with claims and ensure proper allocation of adjustments, write-offs, and refunds.
- Identify and resolve discrepancies in payment posting.
- Claims Submission:
- Prepare and submit clean claims to insurance companies electronically or via paper.
- Verify patient insurance eligibility and benefits prior to services being rendered.
- Ensure claims are submitted in a timely manner to meet payer deadlines.
- EMR (eClinicalWorks) Expertise:
- Utilize eClinicalWorks to manage patient accounts, billing, and reporting.
- Maintain up-to-date and accurate patient records in the EMR system.
- Generate and analyze reports to track billing performance and identify areas for improvement.
- Compliance and Documentation:
- Ensure compliance with HIPAA, CMS, and other regulatory requirements.
- Maintain detailed documentation of billing activities, including correspondence with payers and patients.
- Stay updated on changes in coding, billing, and insurance regulations.
- Patient Communication:
- Respond to patient inquiries regarding billing and insurance in a professional and timely manner.
- Assist patients with setting up payment plans or resolving billing issues.
Qualifications:
- High school diploma or equivalent (Associates degree in Medical Billing or related field preferred).
- Minimum of 2-3 years of medical billing experience, preferably in a cardiology or specialty practice.
- Strong knowledge of Accounts Receivable (A/R) management and payment posting.
- Proficiency in eClinicalWorks EMR system is required.
- Familiarity with cardiology-specific coding (e.g., CPT, ICD-10, HCPCS) is a plus.
- Excellent understanding of insurance guidelines, including Medicare, Medicaid, and commercial payers.
- Strong attention to detail, organizational skills, and ability to meet deadlines.
- Exceptional communication and interpersonal skills.
- Ability to work independently and as part of a team.
Preferred Skills:
- Certification in Medical Billing and Coding (e.g., CPC, CBCS) is a plus.
- Experience with cardiology procedures and terminology.
- Knowledge of revenue cycle management best practices.