Medical Billing Technician

Salary/Position Classification

• $40,300 annual, Non-Exempt (Eligible for overtime)
• 40 hours per week
• This position will work onsite at UND Grand Forks, ND campus

Purpose of Position

This position is responsible for preparing claims for medical and third-party payers including insurance companies, medical assistance, workers compensation; data entry of payments and adjustments into electronic database; providing written and verbal communication with patients regarding their health care claims; researching problems within medical billing and follow through with appropriate action. This position also performs reception duties by answering phones and setting up appointments.

Duties & Responsibilities

• Patient Registration
  • Greet and register patients in a timely, professional and confident manner.
  • Input patient Demographics into EMR and Versatile (records retention).
  • 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 EMR 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
  • Establish 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 
• Payment processing
  • Process payment for deposit according to UND Finance protocol
  • Post payment into software system
  • Process credit card payments following UND policy 
• Billing and insurance support
  • Credential new physical therapists including residents with insurance companies.
  • Determines and verifies 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 action necessary.
  • Assist billing staff with payment posting
  • Assist in filing insurance claims, using automated billing software
  • Submit paper claims as necessary
  • Scan intake forms and place on EMR and ERMS as appropriate
  • Use EMR to produce statements and mail 
• Accounts Receivable/Collection of outstanding accounts
  • Post payments provided by insurance companies and patients
  • Download/scan insurance payments (EOBs) and save in ERMS
  • Track Payments provided by insurance companies and patients
  • Advise customers on debt repayment
  • Identify slow-paying insurance companies and patients
  • Assist in streamlining the accounts receivable process
  • Monitor accounts to identify outstanding debts
  • Investigate historical data for each debt or bill
  • Contact clients to ask about their overdue payments
  • Take actions to encourage timely debt payments
  • Process payments and refunds
  • Resolve billing and customer credit issues
  • Update account status records and collection efforts 
  • Report on collection activity and accounts receivable status 

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 offi