Medical Biller - Santa Clara, United States - Berman Skin Institute

Description

Job Description

About Berman Skin Institute (BSI): Founded a quarter century ago by David Berman, M.D., a board-certified dermatologist, BSI's mission is to blend state-of-the-art medical technology and research with a dedication to patient welfare and healing to provide patients with the best possible dermatologic care. Berman Skin Institute is a group of dermatology clinics with eleven medical clinic locations across Northern California, including Los Altos, Cameron Park, Fremont, Placerville, Pleasanton, Roseville, Sacramento, San Francisco, Tracy, Walnut Creek and Yuba City. With a well-established and diverse patient population, BSI has a set of broad and comprehensive service offerings, including medical and surgical dermatology, including treatment for acne, moles, allergic skin reactions, autoimmune diseases, skin infections, Mohs skin cancer surgery, cosmetic dermatology (including laser treatment of unwanted hair, sun damage and wrinkled skin, unwanted tattoos, red or brown discoloration of the skin, varicose/spider veins of the legs and face, etc), skin care products and medi-spa/aesthetician treatments such as chemical peels, microdermabrasion, and HydraFacials. BSI is one of the largest skin laser centers in the world, with over 50 lasers on site, and many other non-laser devices for skin and hair conditions, such as 4 ARTAS robots for hair transplant.

BSI has a talented and passionate team who strives to deliver the best possible patient care. The patient experience is our number one priority with a team approach to service.

Berman Skin Institute is seeking a Full Time Billing Specialist in our Santa Clara office to join our family of professionals. Responsibilities include but not limited to:

More information about Berman Skin Institute can be found at

Position Summary

• Responsible for data entry of daily billing charges from multiple clinics
• Send electronic billing through clearinghouse
• Re-bill and appeal claim based on payer rejections and denials received
• Assist referral department as needed
• Review account status on the aging report. Contact patients directly to resolve overdue accounts
• Receive patient inquires via phone or email. Must be able to handle and resolve patient complaints in a professional manner
• Maintain ongoing tracking and appropriate documentation on referrals to promote team awareness and ensure patient safety
• Ensure complete and accurate registration, including patient demographic and current insurance information
• Assemble information concerning patient's clinical background and referral needs. Per referral guidelines, provide appropriate clinical information to specialist.
• Contact review organizations and insurance companies to ensure prior authorization requirements are met. Present necessary medical information such as history, diagnosis and prognosis. Provide specific medical information to financial services to maximize reimbursement to the hospital and physicians.
• Review details and expectations about the referral with patients.
• Ensure that referrals are addressed in a timely manner.
• Remind patients of scheduled appointments via e-mail or phone.
• Perform related tasks and assignments as necessary

Required Qualifications

• Minimum 1-year experience in medical billing/collections
• Must be familiar with PPO, HMO, and Medicare coding guidelines
• Must be familiar with surgical and procedural global periods
  
• Working knowledge of billing software (Nextech software experience a plus)
• Reliable and Dedicated Work Ethic -- good attendance is a must
• Ability to work as an Integral part of a team
• Quick and accurate keyboarding skills
• Calm professional manner; self-motivated
• Proficiency in Microsoft Office (primarily Word and Excel) is required.

Benefits

Berman Skin Institute believes our people are the secret to our success, and we work to create an environment where our people are appreciated, engaged, supported and rewarded. BSI provides a competitive compensation and benefits program to attract, retain and motivate a high-performance team, with flexibility to meet the different needs of our diverse employee population.

Berman Skin Institute is an equal opportunity employer.

No agencies please. Local area candidates preferred.