Responsible for timely submission of claims to insurance companies from a wide variety of medical providers and facilities, as well as monitoring and ensuring payments for medical services are received in a timely manner. Medical Biller may also function as an intermediary between healthcare providers, clients, patients and health insurance companies. Effectively utilize technology in order to perform coding and billing duties as such as data entry, verification of billing accuracy, submitting claims, post all insurance payments by line item, and identifying and billing secondary or tertiary insurances.
Medical Assistants (Farmington Hills, Dearborn Heights)
Provides support to the Physician by obtaining patient medical information by obtaining their vital signs, weight, and height. Update chart as needed with current vital statistics any changes in condition, allergies, medications, etc. Obtain prior authorizations, scheduling medical tests, such as EEG, EMG and MRI. Ensure Greenway contains all pertinent information, by scanning incoming records, test results, all other pertinent forms to EMR and is up to date. Takes messages for physician and forwards as appropriate. Handles tasks as assigned by physician.
Prior Authorization Coordinator (Medication, Infusion, Satellite Office-Roseville)
Responsible for obtaining insurance authorization for eligibility diagnostic and pain management services, MRI’s, Epidurals, NB’s, Lumbar Punctures, Blood patches, Infusions, Medications and Headache Treatments. Processes all phases of pre-authorization to include preparing records and updates regarding patient status. Verifies insurance benefits and eligibility for diagnostic and pain management services that require pre-authorization. Acts as a liaison between insurance provider, patient, and Medical Assistant.
Infusion Nurse (1 Full-time)
Under supervision and according to established policies and procedures, the registered nurse implements plan of care for patients and communicates patient outcomes to healthcare team as needed. Ability to start peripheral IVs and utilize implanted ports for treatment therapies. Current infusion therapies include Tysabri, Ocrevus, IVIG, Lemtrada, Rituxan, Solumedrol, Vyepti, and Headache treatments. Monitor for infusion related reactions per protocol and medicate as needed with appropriate orders. Helps coordinate and schedule needed follow up care appointments per infusion specific protocols.
Revenue Cycle Director
Responsible for the daily management of a team of Medical Billers, Coders, and Prior authorization coordinators dedicated to full revenue cycle services for a growing neurology practice. Evaluate and organize daily workflow and effectiveness of the department to maximize efficiency of open accounts/claims. Provide training and feedback to enhance staff performance. Collaborate with various departments to enhance communication to improve the revenue cycle process. Seek to be pro-active in process improvement and monitoring quality and quantity of A/R. Implement best practice to manage denials, reduce rejections, manage receivables, and improve overall collection of delinquent accounts. Perform and report analytics of potential problems, changes, and requirements to accelerate and improve cash flow. Meets regularly with CEO to review charges, denial, trends, etc. Maintains up to date knowledge of all aspects of billing and collections within healthcare clinic setting.