Biller/Collector

JOB SUMMARY
Responsible for submitting claims and following up with insurance companies. Responsibilities also
include posting and managing account payments. Travel as necessary.

QUALIFICATIONS
1. Must be at least 18 years of age
2. Previous physician office and or hospital billing and follow up experience required (3 years)
3. Must have strong working knowledge in Texas Medicaid, Medi-Cal and managed care plans
4. Candidates must have experience in medical terminology, ICD-9 coding, CPT codes, UB04 and
1500 claim forms
5. Excellent verbal and written communication skills
6. Data entry experience
7. Compliance with all billing-related HIPAA policies
8. Proficient in basic PC skills. Microsoft Word and Excel required
9. Ability to multi-task and handle large volume of detail work accurately and efficiently and
meet deadlines
10. Compliance with accepted professional standards and practices
11. Satisfactory references from employers and/or professional peers
12. Satisfactory criminal background check

RESPONSIBILITIES
1. Data entry of charges and billing of claims to various insurance companies
2. Medical AR follow-up procedures to include reviewing and working aging reports, denials and
insurance correspondence from various insurance carriers
3. Ability to audit and analyze patient accounts
4. Requires vast awareness of different medical software or the ability to learn new customized
software quickly
5. Payment posting and account reconciliation
6. Review and process adjustments and refunds on patient accounts
7. Support Programs by responding promptly and accurately to inquiries.

8.Ability to handle stressful situations and interact with others.
9. Must be present during working hours at the office for in person meetings and access to a
computer without violating company policy.
10. Remain composed in a stressful environment and deal with frequent deadlines and multiple
priorities.
11. Follow instructions and use critical thinking skills to make decisions.
12. Comply with internal controls, policies and procedures.
13. Comply with BayMark policies and procedures, Compliance Policy and Code of Ethics.
14. Conduct all business activities in a professional and ethical manner.
15. Regular attendance is to be maintained.
16. Interact with all staff in a positive and motivational fashion supporting the Company's mission.
17. Conduct special projects as assigned.