About the Role:

As a Biller at Digestive Healthcare Associates (DHNY), you will play a critical role in managing the financial transactions related to patient care within the healthcare setting. Your primary objective will be to ensure accurate and timely billing of medical services, facilitating smooth revenue cycles and compliance with healthcare regulations. You will collaborate closely with healthcare providers, insurance companies, and patients to resolve billing inquiries and discrepancies. This role demands meticulous attention to detail and a strong understanding of medical billing codes and insurance policies to maximize reimbursement. Ultimately, your work will contribute to the financial health of the organization while supporting patient satisfaction through transparent and efficient billing processes.

Minimum Qualifications:

• High school diploma or equivalent required; associate degree or higher in healthcare administration or related field preferred.
• Proven experience in medical billing or healthcare revenue cycle management.
• Familiarity with medical billing software and electronic health record (EHR) systems.
• Strong knowledge of medical terminology, CPT, ICD-10, and HCPCS coding standards.
• Excellent organizational skills and attention to detail.

Preferred Qualifications:

• Certification as a Certified Professional Biller (CPB) or Certified Medical Reimbursement Specialist (CMRS).
• Experience working in a gastroenterology or digestive healthcare setting.
• Proficiency with specific billing platforms used in DHNY or similar healthcare organizations.
• Strong customer service skills with experience handling sensitive patient financial information.
• Ability to analyze billing data to identify trends and recommend process improvements.

Responsibilities:

• Prepare and submit accurate medical claims to insurance companies and other third-party payers in a timely manner.
• Review patient records and billing information to ensure completeness and accuracy before processing claims.
• Follow up on unpaid or denied claims by communicating with insurance providers and resolving any issues or discrepancies.
• Maintain detailed records of billing activities, payments received, and outstanding balances.
• Assist patients with billing questions, providing clear explanations of charges and payment options.
• Collaborate with healthcare providers and administrative staff to update billing codes and procedures as needed.
• Ensure compliance with all relevant healthcare laws, regulations, and insurance guidelines.

Skills:

In this role, your expertise in medical billing codes and healthcare regulations will be essential for accurately processing claims and minimizing denials. Your proficiency with billing software and EHR systems will enable you to efficiently manage patient data and billing workflows. Strong communication skills will be used daily to interact with insurance companies, healthcare providers, and patients, ensuring clarity and resolution of billing issues. Attention to detail is critical to verify the accuracy of billing information and maintain compliance with legal standards. Additionally, analytical skills will help you identify billing trends and contribute to improving the overall revenue cycle management at Digestive Healthcare Associates.