Job Summary
The Medical Biller plays a crucial role in the healthcare revenue cycle by ensuring the accurate and timely processing of medical claims. This position involves submitting claims to payers, following up on outstanding claims, and ensuring the collection of payments. The Medical Biller will work closely with healthcare providers to verify patient information, manage accounts receivable, and resolve billing issues while maintaining compliance with industry regulations.
Key Responsibilities
- Claim Submission: Prepare and submit accurate medical claims to insurance payers, ensuring compliance with coding and billing standards.
- Accounts Receivable Management: Monitor accounts for payment status, follow up on unpaid claims, and take necessary actions to resolve denied or rejected claims.
- Patient Interaction: Communicate with patients regarding their accounts, explain charges, and assist with billing inquiries.
- Insurance Verification: Verify patient insurance eligibility and benefits prior to services being rendered.
- Payment Posting: Accurately post payments received from insurance companies and patients to the appropriate accounts.
- Documentation: Maintain accurate and detailed documentation of billing processes, including records of claims submitted and payments received.
- Compliance: Ensure compliance with HIPAA regulations and maintain confidentiality of patient information.
- Reporting: Assist in generating reports related to billing performance, accounts receivable aging, and collection efforts.
Requirements
Qualifications
- Education: High School Diploma or equivalent; certification in medical billing or coding (e.g., CPC or CCA) is a plus.
- Experience: Previous experience in medical billing or a related field is preferred, but entry-level candidates may be considered.
- Knowledge: Familiarity with medical terminology, coding systems (CPT, ICD-10), and healthcare payer processes.
- Skills:
- Strong attention to detail and accuracy in claim submissions.
- Excellent organizational and time-management skills.
- Good communication and interpersonal skills to interact with patients and insurance representatives.
- Proficiency in using medical billing software and electronic health record (EHR) systems.
Benefits
- Competitive salary and benefits package.
- Opportunity for growth and career development.
- Training and support to enhance technical and customer service skills.
- Work in a dynamic and multicultural environment.
Originally posted on Himalayas
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