Medical Biller - Merritt Healthcare

Founded in 2001, Merritt Healthcare is the industry leader in the development, management and advisory of ambulatory surgery centers (ASCs) nationwide.

We are a proud owner-operated firm committed to direct principal involvement in all development and management projects.

We develop facilities where procedures are performed safely, efficiently and in a cost-effective manner. We help partners maximize value and achieve high levels of physician and patient satisfaction. Whether it’s providing operating guidance or business development initiatives, we are committed to exceeding expectations.

Mission, Vision and Values:

 In the performance of one's job, the employee reflects the Mission by participating in the provision of convenient cost-effective, quality surgical care.

Values:         

• Confidentiatlity
• Quality
• Teamwork
• Trust
• Respect

Responsible for the accurate and timely submission of all insurance claims and patient statements. Ensures that all receivables are correctly posted to the electronic billing software system and deposited in the bank. Also ensures that all payables are reviewed by administration and paid in a timely manner. Works with Management Company, Administrator, Clinical Coordinator, Business Office members and Physicians to achieve the objectives, visions, and goals of the Center.

Responsibilities:

• Responsible for the daily generation of all insurance claims within 1-2 business day of case completion.
• Ensures the accuracy of coding by reviewing procedure documentation.
• Resolves any and all coding discrepancies with physician or administration before submitting claims to insurances.
• Complies with CMS NCCI when accurately completing UB04 and HCFA 1500 claims for electronic or paper submission.
• Monitors aging A/R and conducts status updates for all insurance claims outstanding longer than 30 days from date of service.
• Corrects and resubmits rejected or denied claims.
• Conducts monthly patient account balance statement review and subsequent billing.
• Arranges patient payment programs in compliance with Center’s policy.
• Posts all insurance and patient claim payments to the billing system.
• Copies, organizes, and stores all checks and explanation of benefits.
• Responsible for daily bank deposits.
• Produces daily payment reports and reconciliation with deposits for administrative review.
• Responsible for the accurate posting of all receivables and to the billing system..
• Fields all billing related questions that patients may have.
• Checks insurance benefits as needed.
• Provides a back-up role in the following areas when needed: AR
• Duties may include but are not limited to answering phones, scanning, insurance benefit verification .
• Participates in appropriate meetings.

Qualifications:

1. Must have prior (at least 1 year minimum) medical billing experience. Experience must include entering /submitting claims, posting insurance and patient payments-includes balancing daily and monthly, claims rejections/denials, AR.
2. High school diploma or equivalent required
3. Demonstrates interpersonal communication skills required to facilitate effective interaction with a variety of healthcare professionals.
4. Ability to work minimal supervision and organize work in order of importance.

Working Conditions:

• Work requires constant technical attention to accuracy and detail for extended periods of time.
• Minimal to moderate physical effort is required.
• Extended periods of sitting and computer use.
• Occasional lifting, bending, stooping, kneeling, crouching and reaching.

Knowledge and Experience:

1. Experience as medical biller (1 yr minimum), preferable in an Ambulatory Surgery setting. Experience must include entering /submitting claims, posting insurance and patient payments-includes balancing daily and monthly, claims rejections/denials, AR.
2. Must have advanced clerical training, which includes typing, basic filing skills and fundamental understanding of office procedures.
3. Ability to set priorities for completion of daily work schedule and assignments.
4. Familiarity with medical terminology and procedural nomenclature.
5. Knowledge of all Local, State and Federal confidentiality requirements regarding protected health information.
6. Strong verbal and written communication skills.
7. Excellent phone etiquette.
8. Strong interpersonal skills

The above is intended to describe the general content and requirements for the performance for this position. It is not to be construed as an exhaustive statement of duties, responsibilities or requirements.

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Merritt Healthcareis committed to a diverse and inclusive workplace. We are an equal opportunity employer and do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

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