To function as a member of the administrative team and complete all daily tasks to ensure smooth day-to-day operations in busy practice located in Brighton, MA.
Position: Billing Coordinator
Department: Outpatient Psychiatry
Schedule: Fulltime, 7:30am - 4:30pm
Responsibilities:
1. Enter technical and professional charges electronically.
2. Assure the final diagnoses and procedure codes as stated by the physician are valid and complete with the guidance of the system edits and reports.
3. Obtain any necessary clarification of information on the notes and charts.
4. Prepare the appropriate claims documents required by each insurer.
5. Perform all charge follow-up such as edits, submission of supporting documents, correction of codes, incorrect balance, or incorrect demographics.
6. Submit, organize and track all insurance claims filed by the health care provider.
7. Follow up until payment is received and manage collections activities when necessary.
8. Answer, triage, and route telephone calls appropriately; take messages, follow through with each message, ensuring that the appropriate physician/staff member received the information. Provide routine information to callers, including answering patient questions on billing and routing and/or handling collections if a patient fails to meet his or her financial obligations.
9. Collect co-payments and balances.
10. Support cross coverage for front desk which includes greeting patients, completing patient check-ins and answering the phones.
11. Obtain prior authorizations/approvals for outpatient services as needed.
12. Schedule patients' appointments and appropriate testing for patients as directed.
13. Verify information from patients including demographic and health insurance information.
14. Prepare documents for billing physician encounters; enter data, ensure that referrals are received, etc.
15. Organize and update files, charts, and records.
16. Responsible for stocking of supplies and assist in ordering supplies.
17. Perform other duties as requested.
Knowledge, Skills and Abilities:
* Experience with electronic medical record strongly preferred (Athena and Meditech a plus).
* Experience with Microsoft Office, Word, Excel and Outlook.
* Solid communication and interpersonal skills, ability to communicate with tact, courtesy and professionalism, and full understanding of HIPAA guidelines.
* Advanced knowledge of medical terminology, codes and abbreviations.
* Must possess strong organizing and prioritizing skills.
* Ability to work independently and handle multiple priorities within a high-pressure environment.
Education/Experience:
* Education from approved medical administrative program or equivalent.
* High School Diploma or equivalent.
* 1 to 3 years of experience as a Medical Biller.
* Billing and Coding certificate preferred.
Equal Opportunity Employer/Disabled/Veterans
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