Medical Billing Technician

Salary/Position Classification

• $40,300 Annual, Non-Exempt (Eligible for overtime)
• 40 hours per week
• 100% Remote Work Availability: No
• Hybrid Work Availability: No

Purpose of Position

The purpose of the Reception/Medical Billing Technician is to support the CFM in both registration and billing functions. The position performs duties related to patient registration as well as provides assistance to the revenue cycle management of the clinic.

Duties & Responsibilities

Patient Registration

• Greet and register patients in a timely, professional and confident manner.
• Determines, verifies, and updates appropriate patient demographics within the clinic’s information system.
• Schedule appointments.
• Notify patients of appointment changes.
• Answer phone in a timely and professional manner while demonstrating appropriate telephone etiquette including identifying self and work area in a clear, concise, and friendly manner.
• Route call to appropriate department or staff member and recognize and appropriately direct caller if an emergent situation in accordance with policies.
• Use knowledge of database system to provide appropriate and confidential appointments.
• Communicate and establish positive relationships with internal and external customers to problem solve, explain policies and procedures, and explain financial processes i.e. co-pays, address verification to maximize timely reimbursement
• Establishes good rapport with patients and their families and respects the patient’s right to privacy
• Appropriately track and identify cancelled appointments in the system
• Assist providers, nurses and patients at the conclusion of visit, scheduling follow-up visits if necessary
• Work hospital discharge queue to contact patients for follow-up scheduling 

Payment processing  

• Request and collect co-payments and monies due from patients at time of registration
• Post payment into software system
• Process credit card payments following policy
• Balance cash drawer against software report and prepare funds for deposit process
• Accurately follows clinic cash handling policy  

Billing and insurance support 

• Determine and verify appropriate demographics (obtain current information and validate): patient name (correct spelling of); date of birth; address; insurance coverage/information; financial class; and responsible party-guarantor in order to maximize timely reimbursement.
• Pre-screen appointments, verifying insurance coverage, benefits, and co-pays
• Process and review self-pay accounts receivable, answer incoming phone calls from patients regarding their accounts receivable balances, and prepare account for collections
• Open billing office mail, prepare payment listing for posting
• Process returned mail, contacting patient to verify correct address
• Review provider attestation documentation and follow up with provider/residents with any corrective access necessary.
• Assist billing staff with payment posting
• Assist in filing insurance claims, using automated billing software  

Required Competencies

• Ability to comprehend insurance claims processing, Explanation of Benefits (EOBs), and denials.
• Ability to examine documents for accuracy and completeness.
• Ability to process patient and public inquiries with poise and efficiency.
• Ability to recognize, evaluate and resolve problems and correct errors.
• Ability to maintain strict confidentiality in regard to all information acquired in course of performing the job.
• Excellent interpersonal skills and be able to work closely with faculty and resident physicians.
• Ability to work with patients and the public in a professional, confidential, and calm fashion.
• Ability to multi-task while still maintaining attention to detail.
• Strong computer skills.
• Excellent verbal and written communication skills.

Minimum Requirements

• A.S. degree in a related area, or 3 years of equivalent work experience
• Data entry experience, to include experience with MS Word, Outlook and email
• Successful completion of a Criminal History Background Check

In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the US and to complete the required employment eligibility verification form upon hire. This position does not support visa sponsorship for continued employment.

Preferred Qualifications

• One year of experience working in a m