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Medical Biller

Company: iHealth Labs
Location: Sunnyvale
Posted on: February 16, 2020

Job Description:

Company Description

Join us to reshape the future of chronic disease management! iHealth Labs introduced the first smartphone-connected blood pressure monitor in the world. Since then, iHealth Labs has become a global leader in digital health technology, offering a line of award-winning mobile health devices and comprehensive chronic disease management solutions. Our mission is to connect patient care at the doctor's office with individual's daily life and provide real-time support to empower people with chronic conditions live healthier.

Job Description

We're seeking a passionate medical billing expert to join our Unified Care team to manage all the billings from partner clinics. You will have a wide scope of medical billing collection, insurance policy research, revenue management, client coordination, and business analytics.

Responsibilities

  • Keep update with the CMS policy for chronic disease management related billings (especially for CCM and RPM) and provide consultation to partner clinics.
  • Keep update on the billing policy for diabetes education (DSME and DPP) and provide consultation to partner clinics.
  • Organize the monthly billing reports for partner clinics to submit timely.
  • Organize auditing documents and assist partner clinics for potential audits.
  • Verify reimbursement and collect service fee from partner clinics timely.
  • Checking eligibility and benefits verification for chronic disease management.
  • Reviewing patient bills for accuracy and completeness, and obtaining any missing information.
  • Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.
  • Following up on unpaid claims within standard billing cycle timeframe.
  • Checking each insurance payment for accuracy and compliance with contract discount.
  • Calling insurance companies regarding any discrepancy in payments if necessary
  • Identifying and billing secondary or tertiary insurances.
  • Reviewing accounts for insurance of patient follow-up.
  • Researching and appealing denied claims.
  • Answering all patient or insurance telephone inquiries pertaining to assigned accounts.
  • Setting up patient payment plans and work collection accounts.
  • Updating billing software with rate changes.
  • Updating cash spreadsheets, and running collection reports.
    In addition to these general duties, an individual employer may request that you perform other duties that fit with your training and background experience or provide further training for new duties.

    Education and Experience Required
    • Knowledge of business and accounting processes obtained from an undergraduate degree or equivalent in business Administration, Accounting, or Health Care Administration preferred.
    • A minimum of one to three years of experience in a medical office setting.
      Proficiency in the following areas is preferred:

      Qualifications

      Education and Experience Required
      • Knowledge of business and accounting processes obtained from an undergraduate degree or equivalent in business Administration, Accounting, or Health Care Administration preferred.
      • A minimum of one to three years of experience in a medical office setting.
        Proficiency in the following areas is preferred:
        • Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
        • Competent use of computer systems, software, and 10 key calculators.
        • Familiarity with CPT and ICD-10 Coding.
        • Effective communication abilities for phone contacts with insurance payers to resolve issues. A calm manner and patience working with either patients or insurers during this process.
        • Customer service skills for interacting with patients and clinic managers regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds.
        • Ability to work well in a team environment. Being able to triage priorities, delegate tasks if needed, and handle conflict in a reasonable fashion.
        • Problem-solving skills to research and resolve discrepancies, denials, appeals, collections.
        • Knowledge of accounting and bookkeeping procedures.
        • Knowledge of medical terminology likely to be encountered in medical claims.
        • Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
        • Proficiency in Microsoft Office Suite, prefer advanced level Excel for data management and summary.

          Additional Information

          All your information will be kept confidential according to EEO guidelines.

Keywords: iHealth Labs, Sunnyvale , Medical Biller, Healthcare , Sunnyvale, California

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