Medical Biller

Summary of Position :

As a Medicare Medical Biller at Arkansas Surgical Hospital, your primary responsibility will be to manage and process Medicare billing, ensuring accurate and timely submission of claims. Knowledge of SSI billing is a valuable asset, although not required. The ideal candidate will have a strong understanding of Medicare billing regulations and be able to navigate complex reimbursement processes to secure timely payments.

Key Responsibilities:

Medicare Billing: Prepare, review, and submit Medicare claims for services provided, adhering to Medicare guidelines and regulations.

Claims Management: Monitor the status of Medicare claims, resolve billing issues, and resubmit claims as needed to secure timely reimbursement.

Coding and Documentation: Review medical records and documentation to assign accurate codes and descriptions for Medicare billing, ensuring compliance with CMS (Centers for Medicare & Medicaid Services) guidelines.

Follow-up: Conduct follow-up with Medicare and SSI payers to track claim status, resolve denials, and secure payments.

Reconciliation: Perform payment reconciliation, verify EOBs (Explanation of Benefits), and manage adjustments as necessary.

Documentation Compliance: Ensure all billing documentation is complete and accurate, maintaining organized records for audit purposes.

Training and Collaboration: Collaborate with healthcare providers and administrative staff to educate them on Medicare billing procedures and answer their billing-related inquiries.

Education:

High School diploma or G.E.D preferred.

Experience/Qualifications:

Previous experience in Medicare billing is required; knowledge of SSI billing is a plus.

Familiarity with Medicare regulations and guidelines is essential.

Strong understanding of CPT, ICD-10, and HCPCS coding systems.

Proficiency in medical billing software and electronic health record (EHR) systems.

Excellent attention to detail and accuracy in billing and coding.

Strong problem-solving and communication skills.

Knowledge of healthcare revenue cycle management.

Experience billing through SSI is a plus but not required.

Physical Requirements

This position requires lifting, carrying, pushing, and/or pulling up to ten (10) + pounds. Stooping, kneeling, crouching, reaching, grasping, handling, and balancing 5 or more hours per day. Sensory and communicative activities including: hearing seeing, and

speaking to be able to carry out essential job functions.

Working Conditions/Environmental Exposures

Environmental hazards such as chemicals, solvents, needles, needle containers, sharps, blood, body fluids, various infectious/communicable diseases, infectious medical waste, radiation, and/or radioactive materials and/or radioactive waste, proximity to moving mechanical parts. Protective clothing/equipment may be necessary.

THE JOB DESCRIPTION IS NOT INTENDED TO BE AN EMPLOYMENT CONTRACT, NOR DOES IT DISSOLVE THE "AT WILL" EMPLOYMENT RELATIONSHIP.