Physician Biller - Central Billing Office - Full-time

Supports, and is responsible for incorporating into job performance, the Frederick Health (FH) mission, vision, core values and customer service philosophy and adheres to the FH Compliance Program, including following all regulatory requirements and the FH Standards of Behavior.

The Physician Billing Representative is responsible for ensuring that patient charges and payments are correct on the patient account, insurance authorization has been obtained, timely submission of the account and timely follow up to achieve payment from third party payer or the patient. S/he demonstrates a high level of accuracy considering the volume and filing requirements of the various insurance payers; and recognizes the priorities of the work to be completed in order to maximize efficiency.

Correct Availity Registration edits

Run denials reports daily and correct claims or appeal where necessary

Attach EOBs to secondary paper claims and submit for payment

Attach referrals to claims and reprocess to carrier

Print and send medical records with claims

Key Medicaid claims for payment claims

Work Vendor logs

Patient and Insurance Correspondence

Credit management

Correct Registration errors

Verify insurance eligibility and claim status

Review exception batches for distribution

Electronic payment and denial posting

Posting of $0 balance remits

Charge entry

Reconciliation of Daily Batches

Posting of daily payment batches

Reconciliation of Daily office cash deposits

Patient communication.

High School Diploma or GED required. Associate’s degree in business administration, or related field preferred.

College courses in CPT and ICD-10 coding preferred.

Minimum of two (2) years prior physician billing experience with demonstrated working knowledge of professional fee billing transactions and regulations, claims, insurance carriers, rejection and denial codes, error correction and re-posting and contractual adjustments.

Must demonstrate and maintain current knowledge and skills in providing appropriate care/contact for patients in the following age groups:

_xPerformance of job does not require patient contact

Sedentary - Light Work - Lifting up to 15 pounds on an infrequent basis (less than one lift every three minutes). While work is mostly done sitting, a certain amount of walking or standing is often necessary.

Repetition: Repeating the same motion over and over again places stress on the muscles and tendons. The severity of risk depends on how often the action is repeated, the speed of the movement, the required force and muscles involved.

Awkward Posture: Posture is the position your body is in and its effect on the muscle groups that are involved in the physical activity. Awkward postures include repeated or prolonged reaching, twisting, bending, kneeling, squatting, working overhead with your hands or arms, or holding fixed positions.

A. Bloodborne Pathogens Exposure Risk: Category C – NO exposure to blood or body fluids.

Reports to Manager, Physician PFS

Caring for you as you care for the CommUNITY Frederick Health offers a comprehensive and affordable benefits package. Health, Dental and Vision insurance are offered the 1st of the month after 30 days of employment to all employees hired to work at least 20 hours per week and we offer multiple plans to best meet your and your family's needs. Life insurance, Short-Term Income Replacement and Long-Term Disability are employer paid for eligible employees. Frederick Health offers a robust Paid Time Off program for eligible employees. Our 403B retirement plan helps you save for your retirement and includes an employer match to eligible employees. All employees have access to free financial planning sessions. We also offer an educational assistance program to support your education goals as well as an employer paid Employee Assistance Program.

Pay is based on experience, skills and education. If position is part-time, salary will be pro-rated based on scheduled hours. The pay range may also vary within the stated range based on specialty if applicable. Non-Exempt positions may have shift differential and/or Overtime paid, if applicable.

Hourly range: $18.34 - $25.60