Job Description

Billing Associates Opportunity

We are looking for full-time Billing Associates to join our team at the Medical Health Associates of WNY (MHA). MHA is the largest pediatric group practice in Western New York, and our Billing Associates support customer satisfaction and business activities by performing a full spectrum of revenue cycle activities.

Duties and Responsibilities:

Claims Processing:

• Accurately process medical claims for submission to insurance companies, ensuring compliance with industry standards and regulations.
• Verify patient information, insurance coverage, and eligibility prior to claim submission.
• Review and analyze claim data to identify errors, discrepancies, or missing information.
• Resolve any issues or discrepancies with claims, working closely with insurance companies, healthcare providers, and patients to obtain necessary information.

Payment Posting:

• Post payments received from insurance companies, patients, and third-party payers accurately and in a timely manner.
• Identify and reconcile any discrepancies between payment amounts, insurance contracts, and billed charges.
• Research and resolve payment posting issues, including denied or rejected payments, and take appropriate action to rectify errors.

Rejection and Denial Management:

• Investigate and analyze claim rejections and denials to identify root causes and trends.
• Collaborate with the billing team, healthcare providers, and insurance companies to appeal denied claims and resolve outstanding issues.
• Develop strategies to minimize claim rejections and denials by addressing common issues and improving billing processes.

Medical Billing Reports:

• Compile and generate comprehensive medical billing reports on a regular basis for administration, including key performance indicators (KPIs), revenue analysis, and claim status summaries.
• Present findings and recommendations to management, highlighting areas of concern or improvement.
• Assists with patient and insurance refunds as needed.
• Prepares electronic files to notify patients of past due balances.
• Interfaces directly with insurance companies as necessary to rectify problems.
• Interfaces directly with MEDENT support to rectify problems.
• Interfaces with Health Tec and Divisions to rectify problems.
• Prepares deposits for manager review.
• Prepares billing and collection reports for manager review.
• Attends mandatory training and compliance sessions, e.g., Compliance and HIPAA.
• Maintains harmony and a cooperative relationship among fellow staff members by communicating information; responding to requests; building rapport; participating in team problem-solving methods.
• Other duties may be assigned. All the duties and standards of this position will be performed according to established policies, procedures, and guidelines within the department and the facility.

Requirements

Work Experience and Skill Requirements:

Minimum two years of experience in outpatient medical office billing required.

Excellent interpersonal and communication skills required.

Experience with MEDENT required.

Proven "team player" experience required.

Experience with managed care and capitation insurance products preferred.

Experience in dedicated customer service activities preferred.

Microsoft Office skills proficiency required.

Ability to multi-task, handle multiple projects and meet timelines.

Education:

High school education required.

Associates degree or medical billing certificate preferred.

Compensation:

The range of pay for this position is $20 - $24 per hour.

Compensation will be reflective of education, experience, credentialing, and licensure.

Physical Requirements:

The physical demands are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Up to six hours of continuous sitting, talking on the telephone, standing and walking in a medical office environment.

Requires ability to perform extensive amount of repetitive keyboarding.

Must be able to bend, stoop, and lift up to 15 pounds.

Requires working with electronic components of computer and other systems.

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