Medical Billing Technician

Salary/Position Classification

• $35,000 to $43,500 Annual, Dependent on Experience, Non-Exempt (Eligible for overtime)
• 40 hours per week
• 100% Remote Work Availability: No
• Hybrid Work Availability (requires some time on campus): No

Purpose of Position

Purpose of position is to provide data entry of payments and adjustments into electronic database, prepare claims for medical and third party payers including insurance companies, medical assistance, workers compensation, and Indian Health Services, etc. This position will also provide written and verbal communication with patients regarding their health care claims, and will research problems within medical billing, following through with appropriate action.

Duties & Responsibilities

• Insurance and billing duties:
  
  • Determines and verifies appropriate demographics (obtain current information and validate): patient name (correct spelling of); date of birth; address; insurance coverage/information; and responsible party-guarantor in order to maximize timely reimbursement.
  • Review explanation of benefits forms (EOB), remittances, correspondence, and claims. If there is a problem with payment decide what action should be taken.
  • File insurance claims through clearinghouse or paper if necessary
  • Analyze assigned work queues within system to clean up errors, ensuring accounts are ready for claims processing
  • Appropriately file revenant paperwork for auditing purposes
  • Maintain daily spreadsheet of clinic deposits, verifying accuracy of reconciliation, and posting credit card payment settlement to the general ledger. 
• Accounts receivable management:
  • Post charges, payments and adjustments into database following protocol.
  • Assess accounts receivable to identify issues and determine appropriate method of problem resolution.
  • Work with third-party payers to resolve outstanding receivables.
  • Communicate with and establish positive relationships with internal and external customers to problem solve, explain policies and procedures, and explain financial processes (i.e., co-payments, referrals, address verification) to maximize timely reimbursement.
  • Assist patients with questions regarding their accounts on insurance claims. Provide customer service in person, by phone or correspondence by analyzing and researching patients’ accounts to provide accurate, timely information and ensure resolution
  • Provide courteous assistance to patients and other staff to promote and ensure customer satisfaction. Be an ambassador for the facility, appropriately representing the UND Center for Family Medicine and its counterparts.
  • Answer the phone in a timely and professional manner and in accordance with the UND Center for Family Medicine standards to ensure excellent customer service.
  • Accept payments following policy  

Required Competencies

• Understanding of medical claims billing and medical insurance
• Basic knowledge of ICD-10 diagnosis coding and CPT procedural coding manuals.
• Strong attention to detail
• Must comprehend insurance claims processing, Explanation of Benefits forms (EOB), and denials.
• Knowledge of medical office procedures, minimal coding, and the ability to examine documents for accuracy and completeness.
• Knowledge of registration procedures, extensive computer skills, basic knowledge of system applications, and billing systems.
• Knowledge of third party payers and basic bookkeeping or accounting principles is required.
• Ability to process patient and public inquiries with poise and efficiency.
• Ability to recognize, evaluate and resolve problems and correct errors.
• Must be able to work with patients and the public in a professional, confidential, and calm fashion. (Able to respond and perform effectively in stressful situations with the ability to multitask).
• Ability to work independently.
• Must have excellent interpersonal skills, be detail oriented, and be able to multitask, working on numerous projects simultaneously while meeting required completion deadlines.

Minimum Requirements

• HS diploma or GED
• Minimum of three years collection or billing experience in a medical setting
• 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 Qualificat