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KMG Clinic Biller

Knapp Medical Center, Weslaco, TX, United States


MEDICAL BILLER

Overview
We are seeking a Medical Biller, sometimes referred to as a Hospital Billing Specialist, Patient Accounts Representative or Insurance Billing Specialist. As our Medical Biller, you will manage patient billing and insurance claims in our Physician Group or Hospital. The Medical Biller will ensure accurate coding, timely reimbursements and clear communication between patients, insurers, and our medical group or hospital departments.

Shifts Available:

Days

Employment Type:

Full-Time

Hours:

8-hour – 8:00am to 5:00PM

Location:

Knapp Medical Center - Weslaco, TX

Benefits

Health, dental, and vision insurance options

Paid vacation, sick time and holidays

Bereavement leave, FMLA and other leave options

Employer 401K options

Tuition reimbursement options

Life, disability, and other insurance options

Many other amazing benefits

At Knapp Medical Group, our dedicated team of professionals is committed to our core values of quality, compassion, and community. Affiliated with Knapp Medical Center, Knapp Medical Group is actively seeking new members to join its award-winning team!

Responsibilities

Submitting claims to the appropriate intermediaries and ensuring procedures and charges are coded in compliance with all payers including Medi-Cal and/or Medicare regulations.

Obtaining required authorizations necessary for the processing and payment of claims.

Managing follow-up and denial management as necessary for final resolution.

Identifying the types of diagnosis and procedure codes (ICD9, CPT, HCPCS, DRG) as they relate to reimbursement.

Communicating clearly and efficiently by phone and in person with clients and staff members.

Maintaining productivity standards and reporting.

Obtaining updated demographic information and all necessary information needed to comply with various Government Programs billing requirements.

Operating computer to input follow-up notes and retrieve collection and patient information.

Maintaining proficiency in Medical Terminology.

Qualifications
Education and Work Experience

Previous Billing Experience within a hospital Business Office Required.

Previous experience with government programs and collections preferred.

Knowledge of medical terminology.

Effective written and verbal communication skills.

Ability to multi-task, prioritize needs to meet required timelines.

Analytical and problem-solving skills.

Customer Services experience required.

High School Graduate or GED Equivalent Required (effective 4/1/14 for all new hires).

Equal Employment Opportunity
Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

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