Medical Billing Representative

*WHY WORK AT ASSOCIATED PHYSICIANS?*Some of the most skilled, compassionate and respected physicians in Madison practice under our roof. Associated Physicians, LLP is Dane County's longest-serving independent, multi-specialty health care provider. We have proudly served generations of families in Madison and surrounding communities. We provide convenient, comprehensive primary care, specialty care and more all in one convenient location.*SCHEDULE*40 hours/week; Monday through Friday, between the hours of 7:30am-5:00pm.*GENERAL SUMMARY:* The Medical Billing Representative, under the general supervision of the Business Office Supervisor, will be responsible for performing all billing and follow-up functions, including investigation of payment delays resulting from no response, denied, rejected, and/or pending claims with the objective of maximizing reimbursement and ensuring that claims are paid in a timely manner. This position responds to inquiries and provides assistance to providers, staff, patients, and third parties over the phone and in person; and performs other business office duties related to claims and payment processing, collections and data entry.*QUALIFICATIONS:**Required:* High school diploma or equivalent; two years medical insurance billing experience, including customer service experience; thorough understanding of revenue cycle and ability to interact with both government and commercial insurances; sound decision-making ability with respect to complex claims processing workflows including the use of external resources; PC/typing/10-key calculator experience and working knowledge of spreadsheets and databases; excellent organization, planning and prioritization skills; clear and effective written and verbal communication skills both in person and on the phone; ability to maintain effective working relationships with providers, staff, patients, other healthcare facilities, service providers, and general public; ability to perform multiple tasks in a fast-paced environment; and ability to maintain patient confidentiality. .*Highly Preferred:* Previous experience in medical business office setting; knowledge of billing procedures, medical terminology, and CPT/ICD coding; cash handling experience; and prior experience with Epic.*PRINCIPAL DUTIES AND RESPONSIBILITIES:*1. Answers telephone in a pleasant and professional manner, identifying department and name. Responds to patient and third-party inquiries regarding accounts, insurance changes, billing procedures, etc. in person or over the phone. Takes messages as necessary. Refers concerns to Business Office Supervisor or Business Operations Manager as appropriate.2. Resolves billing errors/edits and ensure all claims are accurately transmitted in a timely manner.3. Collects, enters, updates, and/or corrects patient demographic and insurance information as necessary. Verifies active insurance coverage, evaluates and researches any associated coordination of benefits and/or retro adjudication.4. Checks databases and other sources to verify patient insurance coverage. Updates patient account with insurance information including effective dates, enters patient flags and memos, as appropriate and updates any existing charges affected.5. Investigates denials and completes applicable forms (e.g. appeal requests or prior authorizations, patient self-reporting claim form); writes letters and/or appeals; and provides copies of records, Explanations Of Benefits, or other information to patients or insurance carriers to resolve claims or outstanding balances as needed.6. Reviews and monitors outstanding insurance balances in a timely manner. Contacts insurance companies regarding status of payments. Monitors coordination of benefits. Resubmits claims as necessary. Researches and requests refunds as appropriate.7. Assists clinic staff in resolving issues related to self-pay, past-due and collection accounts. Contacts patients to explain account balances, including insurance benefits, deductibles, co-pays, etc. May send payment reminder letters. Monitors accounts for payments. Reviews medical records to clarify information and answer questions.8. Processes patient credit card payments.9. May assist with posting charges and/or payments; and processing receipts, charges and refunds.10. Adheres to clinic policies and procedures, and OSHA, infection control, environmental safety, and patient confidentiality standards.11. Attends and participates in department meetings.12. Maintains courteous, professional relationships with providers, staff, patients, other healthcare facilities, service providers, and general public. Refers concerns to Business Office Supervisor as appropriate.13. Enhances professional growth and development by attending meetings, seminars, conferences, continuing education courses, etc.14. Performs other duties as assigned.Job Type: Full-timePay: $21.89 - $25.39 per hourExpected hours: 40 per weekBenefits:* 401(k)* 401(k) matching* Dental insurance* Employee assistance program* Employee discount* Flexible schedule* Flexible spending account* Health insurance* Health savings account* Life insurance* Paid time off* Referral program* Vision insuranceSchedule:* 8 hour shift* Day shift* Monday to Friday* No nights* No weekendsApplication Question(s):* Do you reside in or plan to relocate to the Madison, WI area?Experience:* Medical Billers & Coders: 1 year (Required)* ICD-10: 1 year (Preferred)Ability to Relocate:* Madison, WI 53705: Relocate before starting work (Required)Work Location: Hybrid remote in Madison, WI 53705

Created: 2025-03-09