Biller/Office Clerk

Urology San Antonio - San Antonio, TX

Full-time - Entry Level

San Antonio, TX

Ambulatory Health Care Services

About the position

The Biller/Office Clerk position in Urology at San Antonio involves providing essential support to the facility by performing various business office functions. This role primarily focuses on medical billing, including tasks such as managing medical records, admissions, intake, collections, and insurance verification. The position requires attention to detail and effective communication skills to ensure accurate billing and patient account management.

Responsibilities

• Obtain the Daily Summary Report (DSR)
• Pull all unbilled charts listed on the DSR
• Ensure authorization from the payer has the correct codes listed on the DSR
• Enter notes in patients' pending accounts if coding is incomplete
• Input CPT/ICD9/HCPC information from DSR into the patient accounting system
• Use the correct transaction code for each account based on financial class
• Verify all contract amounts are populated and record the total charge amount on DSR for balancing
• Sequence codes by the contract allowable, with the highest allowable first
• Complete a Charge Description Master (CDM) form for any code without a listed fee
• Balance accounting system reports to coding sheet before posting
• Send claims to ECS and the payer as required
• Print UB/HCFAs for paper claims and submit them to the payer
• Submit ECS claims to payers and fax attachments as required
• Resolve claim rejections by monitoring ECS reports daily
• Send daily claims to secondary payer
• Review pended case reports weekly and determine necessary actions
• Follow up on all canceled cases to determine eligibility for charge
• Forward cancellation sheet to the encoder
• Assign preliminary CPT codes to all pended accounts at month end
• Maintain basic knowledge of medical terminology
• Possess knowledge of health insurance billing
• Specialize in typing, word processing, spreadsheet, and computer billing systems
• Deliver accurate judgment in handling insurance claims and patient accounts
• Adapt and coordinate with all other aspects of the Business Office
• Possess a strong initiative to complete daily work
• Effectively communicate with patients, physicians, and other staff members
• Maintain confidentiality of all information

Requirements

• Medical billing experience
• Knowledge of CPT coding
• Familiarity with medical terminology
• Entry-level position