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Medical biller

A & A Services

This is a Full-time position in Doylestown, PA posted May 21, 2019.

Galena Autism & Behavioral Services LLC (GABS) specializes in ABA therapy and is an in-network provider with most major insurance companies.

We provide treatment for children with Autism and other developmental disorders in the home, community, and center-based settings.

At GABS, we are excitedly pursuing a Medical Biller and Coder to join our mission of bringing hope and peace into the lives of the families we serve.

GABS is seeking an energetic professional who is experienced in handling a wide range of medical billing tasks.

This position is based at our beautiful Autism Achievement Center in Doylestown, PA.

This is an awesome opportunity to work in a cooperative environment focused on helping our clients and valuing our amazing staff.

Come join the GABS team!

Responsibilities and Duties: Obtaining referrals and pre-authorizations as required for procedures.

Checking eligibility and benefits verification for treatments.

Generating patient invoices.

Reviewing Explanation of Benefits (EOB)for accuracy and completeness, and obtaining any missing information.

Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing within standard billing cycle timeframe.

Following up on unpaid claims.

Checking each insurance payment for accuracy and compliance with contract.

Calling insurance companies regarding any discrepancy in payments if necessary.

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.

Requirements: Bachelor’s degree in business administration or other related field (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.

Familiarity with CPT and ICD-11 Coding.

Identifying and billing secondary or tertiary insurances.

Competent use of MS Office, CentralReach software, and 10 key calculators.

Effective communication abilities for phone contacts with insurance payers to resolve issues.

Customer service skills for interacting with patients 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.

A calm manner and patience working with either patients or insurers during this process.

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).

Ability to multitask.

Basic & Physical Requirements: Must have visual acuity to read and comprehend written communication through computer, electronic devices, and paper means.

Must be able to receive detailed information through oral communication.

Must have manual dexterity to perform specific computer and electronic device functions.

Must be physically present at the assigned job location.

Related Training: Responsible for completing and maintaining all required certifications and trainings once employed including, but not limited to: Fingerprinting & Background Checks, CPR, and other company in-services and trainings.

To learn more about the Medical Biller position & how to join The GABS team, please visit our careers page at Essential components of this position are listed above but subject to change at the discretion of Galena Autism & Behavioral Services LLC.

This job description describes essential job functions, but does not provide an exhaustive list of duties that may be assigned.

This job description does not constitute a contract of employment and GABS LLC may exercise its employment-at-will rights at any time.