Physician Billing Representative II

Please note: The schedule is Monday through Friday 8:00 AM to 5:00 PM, and the CPC credential is strongly preferred along with direct prior work experience.

GENERAL SUMMARY

The Physician Billing Representative II provides prompt and efficient operations of billing processes. Responsible for accurate and timely data collection, documentation, submission and data retrieval for billing processes with computerized revenue cycle systems. Interfaces with multiple departments. Reports to Practice Manager/Billing Manager.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Monitors billing processes, accounts receivable, collections, data entry and assures accurate, timely and compliant coding and submissions.

Assists with and processes billing inquiries.

Acts as a liaison for the practice and between subsidiaries, affiliates, finance, insurance, patient and other issues surrounding billing processes.

Performs other duties as assigned.

LICENSES AND/OR CERTIFICATIONS

None required.

MINIMUM EDUCATION AND EXPERIENCE REQUIREMENTS

High school diploma or GED equivalent.

Five (5) years of experience in a related field required.

Business Associates or related degree preferred.

Knowledge of medical terminology, computer skills, ICD-10/CPT coding, quality risk coding and third party payer insurance and billing processes.

Ability to audit denials and perform root cause analysis for future denial prevention.

Excellent customer service skills required to communicate with various companies and multiple departments.

Ability to effectively gather and exchange information in both oral and written communications and bookkeeping skills.

WORKING CONDITIONS

Normal office environment with little exposure to excessive noise, dust and temperature.

PHYSICAL REQUIREMENTS

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