06/14/2018

Lakeshore Surgical Consultants is looking for a part-time medical biller at their multi-physician practice in Trenton, MI.

Candidates should have experience billing for general surgery with an electronic medical record system.  Experience with Aprima or MyWay Billing system is preferred by not required.

Please send cover letter and resume to the attention of Gary Ames at games@lakeshore-surgical.com

06/01/2018

GENERAL SUMMARY:
Under general supervision, is responsible for accurate and timely billing of all charge sessions for physician professional services to all third party payers and patient self-pay accounts. This includes reviewing the charge sessions / encounters, entry of charges into the accounts receivable system, corrections to third party claims, as needed, to ensure timely reimbursement for physician professional fees. Performs follow-up on aged receivables to determine cause of delayed payment and performs all necessary actions to resolve outstanding balance. Participates in quality assessment and continuous quality improvement activities. Complies with all appropriate safety and infection control standards. Performs all job duties and responsibilities in a courteous and customer-focused manner according to the Hurley Family Standards of Behavior.

SUPERVISION RECEIVED: Works under the supervision of a departmental director or designee who reviews work for accuracy and conformance to standard procedures.

RESPONSIBILITIES AND DUTIES:

1. Performs necessary clerical tasks to expedite the preparation and processing of billing to all applicable third party payers and private pay patients. Performs point of service collection on insurance co-pays, deductibles, and pre-payment arrangements, for both the professional and facility component of visits. Documents, copies, and/or scans confirming documentation, such as insurance cards, identification cards, referrals, or authorization information received, into the billing software system.

2. Reviews all billings for accuracy and completeness. Within Professional Billing charge sessions and/or paper encounter documents, checks and verifies all third party identification numbers, diagnosis (ICD) and procedural codes (CPT/HCPCS), medical modifiers, chart documentation, financial class, insurance proration, etc.

3. Contacts appropriate Medical Center departments, physicians, organizations, and eligibility systems to acquire necessary information for patient / insurance billings and reimbursement. Ensures proper identification of health insurance, primary care physician and primary care physician approval. Obtains appropriate referrals/authorizations/precertifications for both the professional and facility component of visits.

4. Communicate as necessary with patients and/or guarantors via mail, email, and/or telephone to promote timely resolution of third party claims in order to minimize unnecessary customer/patient involvement in the billing/reimbursement process.

5. Reviews claims for proper linkage between HCPCS and ICD codes using tools such as CCI, NCD/LCD, or other carrier edits. Submits all third party claim forms with attachments to appropriate insurance carriers. Submits statements to patients for payment.

6. Performs the majority of daily tasks by accessing assigned billing software work queues for both claims processing and follow-up activities. Makes entries into the billing software system to reflect current billing status of each patient account worked and to ensure an audit trail of all account activity. Works to maintain a current status of assigned work queues.

7. Documents via system account activities, system actions, manual notes, and/or smart text options all account activities including but not limited to financial class changes, statement processing, transactions, account adjustments, claim corrections, patient interactions, etc.

8. Reviews, investigates, and corrects rejected claims. Rebills third party payer or patient. Notifies management of any issues or problems.

9. Initiate updates to patient registration information including demographic and insurance information as appropriate and necessary.

10. Acts as liaison among patients, third party payers, and the Medical Center with regard to billing issues. Interacts as necessary with SBO/Customer Service Team to assist in the resolution of billing related inquiries or questions.

11. Under direction of supervisor, performs advanced assignments such as training and special studies.

12. Performs other related duties as required. Utilizes new improvements and/or technologies that relate to job assignment.

MINIMUM ENTRANCE REQUIREMENTS:

• High school graduate and/or GED equivalent.
• Six (6) months of experience in physician billing to third party payers or successful completion of a medical insurance specialist certificate program from an accredited college or university including each of the following: CPT coding, ICD coding, medical terminology and anatomy.
• Knowledge of billing procedures for third party payers.
• Knowledge of medical terminology, procedure coding, diagnosis coding and appropriate modifier usage.
• Ability to type accurately on forms.
• Ability to use 10 key adding machine, computer, calculator, and other standard office equipment.
• Ability to communicate effectively both orally and in writing.
• Ability to conform to departmental performance standards.
• Ability to establish and maintain effective working relationships with physicians, superiors, co-workers, other Medical Center employees, patients, third party payers and the general public.

Email resume to mcupp1@hyurleymc.com

05/21/2018

Job Description: Insurance Verification for all upcoming hospital procedures.  This will involve collection of deductibles and copays prior to procedures rendering.  Employee will be responsible for collecting and/or arranging payment arrangements when patient's have prior outstanding balances. 

Job Responsibilities:

• Obtain prior authorization for testing from insurance companies
• Explains financial requirements to the patients or responsible parties and collects copays and deductibles prior to the procedure
• Explains financial requirements to the patients or responsible parties when patient has outstanding balance
• Other duties as assigned

Education:

• High school diploma or equivalent

Experience:

• One year of experience in customer service or reception, preferable in a health care environment

Required Experience:

• One year of obtaining prior authorization from medical insurance companies
• One year medical receptionist

Performance Requirements:

• Knowledge of medical terminology and organization services

Skills & Abilities:

• Ability to use multi-line phone system, including transferring calls
• Adequate hearing to answer phone and speak with patients
• Ability to speak clearly and loudly enough to be heard by callers and patients

Equipment Operated:

• Standard office equipment including computers, fax machines, copiers, printers, telephones, etc.

Work Environment:

• Position is in a well-lighted office environment

Mental/Physical Requirements:

• Involves sitting approximately 90 percent of the day, walking, or standing the remainder.

 Job Type:

• Full time
• Normal Business hours Monday-Friday

This description is intended to provide only basic guidelines for meeting job requirements.  Responsibilities, knowledge, skills, abilities, and working conditions may change as needs evolve.

To apply, fax in cover letter and resume to 586-573-8979 attention Kelly.

05/08/2018

ProCare Pain Solutions is hiring a full-time Medical Billing Specialist for our growing downtown Grand Rapids location.  We offer employees competitive wages, paid holidays, and paid time off.  Employees can expect no night, weekend, or holiday shifts.  In addition, full-time employees are also eligible for a free high deductible health plan after 90 days and generous 401k profit sharing plan after on year of service.

General Summary:

The account receivable billing specialist functions in an administrative role to insure timely and accurate payment entry of hard copy and electronic claims.  The account receivable specialist works under the direction of and reports to the manager.

Education:

• Minimum - High School Graduate
• Preferred - Higher education with a medical office focus
• Required - Working knowledge of medical terminology as well as procedural and diagnosis coding is required

Work Experience:

• Minimum - One year or recent, relevant experience
• Preferred - Two or more years of experience

Professional Skills:

• Communication - Effective verbal and written skills, computer literate
• Customer Service - Patient confidentiality, helpful, patience
• Organizational - Detail oriented, problem solving abilities, efficient
• Team Skills - Demonstrate ability and willingness to work as an effective part of a team

Characteristic Duties and Responsibilities:

1. Payment Posting Skills
   • Demonstrate ability to accurately perform data entry for payments as indicated by carrier explanation of benefits
   • Follow appropriate internal standards, policies and procedures to provide optimal reimbursement and maximize work flow
   • Demonstrate knowledge of carrier specific guidelines and fee schedules
   • Provider follow thru on claims to insure timely payment for secondary claims
2. Administrator Skills
   • Handle incoming and outgoing correspondence
   • Provide telephone support for patients and insurance carriers
   • Communicate with on site clinic staff regarding medical documentation needs
3. Quality Management Skills
   • Adhere to corporate compliance and HIPAA standards and policies
   • Use relevant knowledge of carrier issues and billing standards to insure accurate payments (know when to question)
   • Participate in peer review, qualify management and outcome studies as assigned
   • Follow standards, policies, and procedures to make appropriate adjustments

Physical Demands

• Independently mobile to perform jobs tasks
• Approximately 99% of time spent sitting
• Moderate to heavy computer use
• Able to lift up to 30 pounds

Please apply online at: https://careers.hireology.com/procarepainsolutions/

05/01/2018

Part time position for support staff primarily performing mental health medical billing, credentialing, and data entry.  Perform other back office work as needed.

Please send resume to psychotherapy.now1@yahoo.com