EMC Biller

ENT and Allergy Associates, LLP and Quality Medical Management Services USA, LLC is seeking a self-motivated, people-friendly full time EMC Biller for our Corporate office location.

Summary

Review, correct, and bill encounters for submission to the clearinghouse, ensuring compliance with timely filing deadlines using RCx Rules, Waystar, and the NextGen reporting system

Essential responsibilities Include but are not limited to the following:

• RCx Rules, Waystar and/or the NextGen systems are used to review all encounters that need updating and corrections entered with accurate information
• Run edits against all charges from previous day
• Run pre-bill reports and verify charges entered for billing/coding specifics
• Verify doctor participation for all insurances and active location billing
• Address errors and questions to the office via email and NextGen tasking system
• After automated billing and EDI file creation by NextGen address any claim production status errors and task situations
• Submit all EDI files to clearinghouse, Waystar
• Primary, Secondary, Sleep Study, Hearing Aid, any additional files
• Secondary claim files updated with primary EOB information through NG Secondary Portal and Waystar
• EDI files are reviewed daily by 9 m.
• Verify EDI files have been received for processing at clearinghouse
• Work rejections immediately upon receipt as received through clearinghouse
• Updating Provider Master File in file maintenance with all referring physician requests from offices within 48 hour period
• Billing corrects Data Integrity Non-History reports
• Create clean claims, void and correct charges manually as per requested internally from collections
• Work tasks sent to us by all offices within Nextgen system

Personal Attributes

• Ability to focus and work efficiently
• Excellent attention to detail
• Ability to organize and prioritize work and manage multiple priorities

Qualifications

• Experience with medical billing systems
• Familiarity with Insurance and Billing Procedures
• Familiarity with Electronic Data Interchange (EDI)

Other Duties

Please note this job description is not designed to cover or contain a completely comprehensive listing of activities, duties, or responsibilities that are required for this position. Duties, responsibilities, and activities may change at any time, with or without notice.

About ENT and Allergy Associated, LLP (ENTA)

ENT and Allergy Associates, LLP is the largest and most comprehensive ear, nose, throat, allergy and audiology practice in the nation with 46 offices and over 220 physicians. Each ENT and Allergy Associates clinical location provides access to a full complement of services, including General Adult and Pediatric ENT, Voice and Swallowing, Facial Plastics and Reconstructive Surgery, Disorders of the Inner Ear and Dizziness, Asthma, Clinical Immunology, Diagnostic Audiology, Hearing Aid dispensing, Sleep and CT Services. ENTA has a clinical alliance with The Mount Sinai Hospital for the treatment of diseases of the head and neck and esophageal cancer and a partnership with the American Cancer Society to educate and treat patients with smoking disorders and cancer. The Practice has also expanded its clinical capabilities to include advanced Immunodeficiency trials.

About Quality Medical Management Services USA, LLC (QMMS USA)

Backed by over 20 years of experience, Quality Medical Management Services USA offers healthcare consultancy services in the area of medical staff operations, practice management, ancillary service revenue enhancement, compliance, records management, and business applications. QMMS USA provides a seasoned team to offer leading edge healthcare business management. QMMS USA implements best practices throughout to ensure success.

To learn more about Quality Medical Management Services USA, please visit: www.qmmsusa.com

To learn more about the benefits of ENT and Allergy Associates, or to conveniently find an ENT doctor or Allergy Doctor and then easily book an appointment at the nearest New York or New Jersey location, please visit: www.entandallergy.com or contact us at:

ENT and Allergy Associates, LLP
660 White Plains Road, Suite 400
Tarrytown, NY 10591
Tel: (914) 333-5800
Fax: (914) 333-2540