Medical Biller

Our client, a non-profit in the Center City area, is seeking a Medical Biller to assist their billing department.
The Medical Biller is a strategic team member who is passionate about making sure all services are charged and billed correctly to support optimized reimbursement. A successful candidate is detail oriented, articulate and a team player who understands the impact revenue cycle makes in the healthcare environment of today and the future. The Medical Biller will excel in working cooperatively with multi-disciplinary teams to realize solutions for quality improvement. This team member learns and adapts quickly, works independently, and is relentless in resolving issues, process concerns, and organizational challenges.
The Medical Biller role impacts the areas of client satisfaction and retention, payor relationship management and the financial success of our organization. This is a full time position reporting to the Billing Supervisor.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills and abilities required.
Essential Functions:
Subject Matter Expertise in the areas of:

• Healthcare Billing Experience
• Payment Posting Experience
• Revenue Cycle Denials Management Experience
• NextGen Experience

Technical Performance Management:

• Explanation of Benefit Review / Payment Posting Experience
• Revenue Cycle Experience (Middle and/or Back-End)
• Expertise in recognizing the importance of inputting accurate information into the patient electronic record system
• Experience working within the healthcare environment, preferable in middle or back-end revenue cycle; knowledge working with various healthcare insurance companies (Medicare, Medicaid, Keystone, etc.)
• Healthcare systems knowledge (i.e. NextGen)
• Research issues, analyzes billing reports, presents results and recommend solutions to problems addressing business challenges by demonstrating strong investigative and critical-thinking skills combined with healthcare expertise
• Candidate must be well-organized and have ability to multi-task
• Ability to troubleshoot technical and functional problems
• Ability to work cross-functionally with other departments
• Root cause issue identification and focus on problem solving is critical to this role
• Knowledge of HIPAA compliance and security requirements as they relate to healthcare data
• Perform other duties as assigned

Knowledge, Skills and Abilities:
Analytical Skills:

• Advanced critical thinking skills with the ability to analyze and interpret claim related issues
• Create end-user reports for billing supervisor and monitor claims submission and aging reports for issue resolution
• Intermediate to advanced skills using Microsoft Word, Excel, Power Point and Outlook
• Excellent organizational skills and strong attention to detail
• Highly self-motivated with ability to work independently and with little supervision
• Strong willingness and aptitude for learning new concepts

General Business and Communication Skills

• Must be organized, self-motivated, detail-oriented and communicate well with others demonstrating an ability to work both independently and as part of a team

• Ability to multi-task; managing multiple tasks accurately and efficiently with minimum supervision
• Proven ability to maintain the highest levels of client satisfaction and be customer service-oriented
• Ability to maintain confidentiality and discretion in business relationships; demonstrate sound business judgment in dealing with patient financial matters
• Creative problem-solving skills
• Team-oriented and adaptable; actively contribute to a highly collaborative work environment
• Effective interpersonal and communication skills; communicate effectively with peers and clients
• Ability to build/maintain strong relationships, generate positive feedback on quality, value, delivery and results

Education:

• High School diploma required
• Bachelor’s Degree preferable

Experience:

• 3-5 years of experience working as a healthcare biller, payment poster, collections administrator or claims analyst, preferably in the healthcare, dental or pharmaceutical industry

Certifications:

• Certified Revenue Cycle Representative (CRCR) preferred