Job Description

Golden Point Acupuncture is a small business owned and ran by women that offers acupuncture and alternative health practices with two clinic locations. We are looking for an organized and experienced medical biller to virtually join our organization.

Golden Point Acupuncture provides Japanese & Chinese medicine treatments, herbal medicine, nutrition, and more. The clinic environment is one of tranquility, ease, and compassion. These are the healing qualities we wish to keep alive in our communication style and patient management care.

The medical biller we seek will be responsible for transferring patient and insurance information, completing payment processes and procedures. The ideal candidate will be well-versed in billing software, medical insurance regulations, and an expert at responding to practitioners, patients and insurance inquiries. The medical biller will also be responsible for maintaining patient confidentiality, handling personal information, and accurately inputting patient data into the system.

Your Responsibilities include:

* Ensure patient information is accurate and complete
* Request any missing patient information
* Review referrals and authorizations
* Confirm patient benefits and insurance
* Follow all regulations and guidelines set by Medicare & HMO/PPO
* Transfer insurance claims and billing data to billing software
* Develop and maintain a tracking system of incoming and late payments
* Monitor and date late payments
* Initiate late payment notices to relevant parties
* Follow-up on late or missed payment notices
* Monitor and resolve financial discrepancies
* Arrange payment plans and timelines for payments
* File and maintain organized documentation of all billing and record
* Follow set billing processes and procedures
* Update and review all accounts to keep records of payments up-to-date
* Work with personal information and maintain patient confidentiality
* Track patient coverage, amount of visits, co-pay and deductibles.
* Knowledge of billing/scheduling program Jane
* Check patient billing logs for any errors.
* Enter billing charges, ICD- 10 codes
* Verify patients insurance coverage
* Manage assigned workflows to include follow up on status of claims, denials and appeals for timely receipt of payment
* Contact insurance companies regarding denied claims
* Send appeals to insurance companies with appropriate documentation.
* Contact insurance companies and patients with questions related to billing
* Answer billing inquiries from patients, staff, customers and insurance companies and resolve complaints

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