Medical Biller

Job Description

Job Description

Salary : $17-19 / hour

Medical Biller

Job Summary :

The Medical Biller at Vigilance Health plays a critical role in ensuringaccurateandtimelyprocessing of billing encounters, compliance with healthcare regulations, and continuous improvement of billing practices. The individual in this position is expected to work closely with the Billing Lead, Revenue Cycle Director, and other team members tomaintainhigh standardsof billing accuracy and timeliness.

Essential Duties and Responsibilities :

• Processing Daily Billing Encounters(35%)
• Ensure thatencountersfor services provided by Care Managers are processed daily with a focus on accuracy and compliance with billing standards.
• Core Value Alignment : Building Solutions- Processencountersefficiently to contribute to the organization's financial health and stability.
• Charge Entries Proofing and Posting(20%)
• Daily proofing and posting of charge entries witha high levelof attention to detail to ensure billing accuracy.
• Core Value Alignment : Having Fire- Approach each task with enthusiasm and commitment to excellence.
• Eligibility and Benefits Verification(15%)
• Regularly check eligibility and verify benefits for chronic care management services, ensuring compliance with payer requirements.
• Core Value Alignment : Being Driven- Stay proactive in verifying patient information to prevent delays or errors in billing.
• Communication with Billing Lead and Revenue Cycle Director(10%)
• Regular communication with key stakeholders to resolve billing issues promptly.
• Core Value Alignment : Being Partners- Foster collaboration and effective communication to ensure seamless operations.
• Billing Clean Claims Daily(15%)
• Responsibility for billing clean claims daily to payers,maintainingdepartment and billing standards.
• Core Value Alignment : Building Solutions- Ensure claims are processed correctly the first time, reducingreworkand improving cash flow.
• Team Participation(5%)
• Active participation in daily teamhuddlesand other relevant meetings to align with team goals and updates.
• Core Value Alignment : Being Coaches- Engage with the team to share knowledge and contribute to collective success.

Key Performance Indicators (KPIs) :

Minimum Education and / or Work Experience Requirements :

Proficient in FQHC / CHC / RHC billing

Experience with EHR system (Preferably eCW, EPIC, Athena, NextGen)

Knowledge of Health care third party reimbursement programs; such as Medicare, Medi-Cal, Managed Care

Health Plans, or private insurance

Should be independent and self-motivated yet eager to work with others, and must demonstrate strong

presentation skills

Ability to accomplish / complete tasks while demonstrating a high level of attention to detail

Desired Skills / Experience :

Core Values