Data, ZOLLMED.com

　　Medical Biller I

　　This position is responsible for validating and entering patient and insurance information into proprietary billing software. The ideal candidate will be well-versed in billing guidelines, insurance guidelines, and responding to patient and insurance inquiries. The medical biller will also be responsible for maintaining patient confidentiality and accurately inputting patient data.

　　Responsibilities Include:

　　Ensure patient demographic information is accurate and completeUtilize customer hospital systems or approved vendors to research and obtain/verify patient demographic informationValidate signature documents such as AOB (Assignment of Benefits), consents, CMN (Certificate of Medical Necessity)Verify patient name is consistent on all documents Verify date of service, loaded miles, locations in software align with dispatch/clinical documentationVerify insurance eligibility and follow coordination of benefits guidelinesResearch new payor information and follow new payor request processRequest missing patient information from facility or by contacting patient or legal representativeRequest retro-authorization and follow up with payors Upload documents into software applicable to patient chartFollow federal and state billing guidelines Input demographic information to billing software and/or payor portal Initiate paper and electronic claims to payorsDocument all actions taken in both clinical and billing software Resolve electronic claim rejectionsFollow fair debt collection practices when contacting patients on past due accountsReview self-pay accounts to determine if all collection efforts have been exhaustedResolve payor specific validations in billing software prior to claim submissionProcess return mail by researching and validating new demographic information and restarting patient statement cycleOther responsibilities as assigned

　　Requirements:

　　Prefer one year in medical billing field but not requiredAbility to speak confidently to insurance representatives and patientsExperience in billing 1500 and UB04 claim forms Understanding of non-contracted and contracted payer behaviorsAbility to adapt in a fast-paced work environment and ability to change tasks based on priority or direction from managementKnowledge of medical termsAbility to work independentlyAbility to analyze and make informed decisions Maintains professional personal appearanceAbility to interact professionally on all levelsAble to analyze problems and provide feedback to management on strategy for efficient solutions Initiative required to learn company organization and proceduresAdhere to company HIPAA confidentially and privacy compliance policies, business and professional ethics, Employee Handbook, and company/department policies and proceduresExperience using Microsoft Office PDF (formatting and editing in Adobe Acrobat or equivalent)Position requires HS or GED equivalent Type 45 wpm, 10-key by touchAbility to operate office equipment

　　Golden Hour appreciates and values diversity. We are an equal opportunity employer and do not discriminate in hiring or employment on the basis of r ace, color, r eligion, national origin, citizenship, gender, gender identity, genetic information, marital status, s exual orientation, age, disability, veteran status, or any other characteristic protected by federal, state, or local law.

　　Other Duties:

　　Please note this job description is not designed to cover or contain a comprehensive listing ofactivities, duties, or responsibilities that are required of the employee for this job. Duties,responsibilities, and activities will be reviewed periodically as duties and responsibilities changewith business necessity. Essential and marginal job functions are subject to modification.

　　ZOLL Medical Corporation appreciates and values diversity. We are an Equal Opportunity Employer M/F/D/V.

　　ADA: The employer will make reasonable accommodations in compliance with the Americans with Disabilities Act of 1990.