Medical Administrative Assistant- Front Desk Reception Job Description and Duties

A medical administrative assistant - front desk reception is responsible for the timely submission of technical or professional medical claims to insurance companies. Handle phone calls, faxes, scanning patient charts. The front office responsibilities to register and check in patients, process all registration requirements ( insurances, co-pays, medical records management, etc...) The position may be located in physician offices, hospitals, nursing homes, or other healthcare facilities.

Job Duties for Medical Biller

Must possess a patient- customer experience background

• Obtaining referrals and pre-authorizations as required for procedures.
• Checking eligibility and benefits verification for treatments, hospitalizations, and procedures.
• Reviewing patient bills for accuracy and completeness, and obtaining any missing information.
• Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.
• Following up on unpaid claims within standard billing cycle timeframe.
• Checking each insurance payment for accuracy and compliance with contract discount.
• Calling insurance companies regarding any discrepancy in payments if necessary
• Identifying and billing secondary or tertiary insurances.
• Reviewing accounts for insurance of patient follow-up.
• Researching and appealing denied claims.
• Answering all patient or insurance telephone inquiries pertaining to assigned accounts.
• Setting up patient payment plans and work collection accounts.
• Updating billing software with rate changes.
• Updating cash spreadsheets, and running collection reports.
• Handle all registration and front desk duties as required.

Education and Experience Required

Basic requirements include:

• A high school diploma
• Knowledge of business and accounting processes usually obtained from an associate's degree, with a degree in Business Administration, Accounting, or Health Care Administration preferred.
• A minimum of one to three years of experience in a medical office setting.

Knowledge, Skills, and Abilities

Proficiency in the following areas is required:

• Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
• Competent use of computer systems, software, and 10 key calculators.
• Familiarity with CPT and ICD-10 Coding.
• Effective communication abilities for phone contacts with insurance payers to resolve issues.
• Customer service skills for interacting with patients, Doctors and others regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds.
• Ability to work well in a team environment. Being able to triage priorities, delegate tasks if needed, and handle conflict in a reasonable fashion.
• Problem-solving skills to research and resolve discrepancies, denials, appeals, collections.
• A calm manner and patience working with either patients or insurers during this process.
• Knowledge of accounting and bookkeeping procedures.
• Knowledge of medical terminology likely to be encountered in medical claims.
• Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
• Ability to multitask.

Customer/ Patient Service Experience a must

• Knowledge and experience in all aspects of billing.
• Knowledge of regulations related to Medicare, Medicaid, and commercial insurance.
• Human resources experience in hiring, supervision, and performance reviews
• Knowledge of HIPAA and labor law
• Strong customer service skills
• Skill in writing policies and procedures
• Skill in using healthcare software and computer systems
• Knowledge of maintaining supplies and equipment for the medical setting.
• Multitasking skills
• Problem-solving skills
• Professional communication and presentation skills, including face to face, email, telephone, and video conference.
• Knowledge of continuous process improvement concepts and practices
• Ability to communicate professionally with clinicians, nurses, allied health staff, administrative staff, frontline staff, contractors, governmental agencies, insurance payers, patients, family members of patients, suppliers, and the general public, of all age levels from child to senior citizen.

Work Remotely

• No

Job Type: Full-time

Pay: $19.00 - $22.00 per hour

Benefits:

• Dental insurance
• Health insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Education:

• High school or equivalent (Preferred)

Experience:

• ICD-10: 1 year (Preferred)
• Medical Billing: 1 year (Preferred)

Work Location: Multiple Locations

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