Medical Biller

Summary

Join our dynamic team as a skilled Medical Biller, responsible for accurately processing medical claims and invoices, ensuring timely reimbursement from insurance companies and patients.

Requirements

• High school diploma or equivalent required
• Additional medical billing and coding certification is preferred
• Minimum of one year of experience in medical billing, preferably in a healthcare setting
• Proficient in medical terminology, billing software (e.g., Epic, Cerner), and insurance claim processing procedures

Responsibilities

• Prepare and submit accurate medical claims to insurance companies, Medicare, and Medicaid for reimbursement
• Generate and send invoices to patients for services rendered, following up on outstanding balances and resolving billing discrepancies
• Verify patients' insurance coverage and eligibility, ensuring all necessary authorizations and referrals are obtained before services being rendered
• Assign appropriate medical codes (ICD-10, CPT, HCPCS) to diagnoses and procedures for billing purposes, ensuring compliance with coding guidelines and regulations
• Record and reconcile payments received from insurance companies and patients, applying them to the appropriate accounts in the billing system
• Investigate and appeal claim denials and rejections, identifying and addressing root causes to prevent future issues
• Communicate with patients regarding billing inquiries, payment plans, and financial assistance options, providing excellent customer service while resolving concerns
• Maintain accurate and up-to-date records of billing activities, including claims submissions, payments, and correspondence with insurance companies and patients
• Adhere to all relevant healthcare regulations, including HIPAA and billing compliance guidelines, to ensure the integrity and confidentiality of patient information

Benefits

• Flexibility to work from home or any location of your choice
• Work-Life Balance at Its Best: Say goodbye to stressful commutes and hello to quality time with loved ones