Job Description

Looking for an experienced medical biller part time to improve our Revenue Cycle Management processes.  We are looking to move all of our billing in house, and away from a 3rd party company. Candidate may work from home but does need to be available  to come into our office in Virginia Beach, VA for trainings and team meetings when needed. This position can grow into full time work if interested in taking on other management and leadership responsibilities or front desk reception type work. Options are available and open for discussion based on candidates past experience.  Immediate need is to work with our insurance coordinator to get claims generated, scrubbed, and pushed out from our EMR system.  

We are a Multi-disciplinary clinic that works with UHC, BCBS, Tricare, Aetna, Cigna, VA Optum, Worker's Comp & Medicare - we bill out for physical therapy, chiropractic, acupuncture, and massage therapy. Visit our website to learn more about us at ThriveVB.com.

PRIMARY RESPONSIBILITIES

• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
• Handle electronic clearinghouse enrollments ERAs, EFTs, etc. 
• Prepares and submits clean claims either electronically or by paper.  
• Issues adjusted, corrected, and/or rebilled claims to third party payers. Assure Coding is compliant and up to date.
• Identify and bill secondary or tertiary insurances when appropriate.
• Generates and manages monthly statement process
• Works with Front End Team to ensure appropriate posting of payments and collection of co-pay, co-insurance, and deductibles are accurate and self pay fees. 
• Manages and generates monthly patient statements. Reviews patient bills for accuracy and completeness, and obtaining any missing information.
• Denial and insurance follow-up management and help with AR. Research and appeal denied claims.
• Posts adjustments, transfer of responsibility and refunds, as necessary.
• Reviews accounts and makes recommendations to the Operation Manager regarding non collectible accounts. 
• Calling insurance companies regarding any discrepancy in payments if necessary.
• Help with Insurance Contracts and Credentialing.
• Set up patient payment plans and work collection accounts.
• Update billing software with rate changes according to fee schedules 
• Update spreadsheets and running collection reports.
• Balance team and individual responsibilities. Independently manages and prioritizes multiple tasks in order to fulfill individual role within the team. Coordinate and communicate work efforts with other team members.
• Remain flexible and adaptable to perform other duties as needed for business and team success.

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