Medical Biller

Summary

Join our client's healthcare team as a skilled Medical Biller, responsible for accurate and efficient processing of medical claims and invoices, ensuring timely reimbursement from insurance companies and patients. You will work closely with healthcare providers, insurance companies, and patients to resolve billing discrepancies and ensure compliance with regulatory requirements. This role involves preparing and submitting claims, generating invoices, verifying insurance coverage, assigning medical codes, recording payments, investigating claim denials, communicating with patients, maintaining accurate records, and adhering to healthcare regulations.

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
• Strong attention to detail, excellent organizational and time management skills, and the ability to multitask in a fast-paced environment
• Effective verbal and written communication skills, with the ability to interact professionally with patients, providers, and insurance representatives
• Demonstrated ability to analyze billing issues, identify solutions, and implement process improvements to optimize revenue cycle management
• Ability to collaborate with colleagues across departments to resolve billing-related issues and achieve organizational goals
• At least 15mbps for main internet and at least 10mbps for backup
• A desktop or laptop that has an i5 processor with at least 8 GB RAM and an i3 processor for backup
• Note: Back-ups should still be able to function when there is a power interruption
• A webcam
• Noise-canceling USB Headset
• Quiet, Dedicated Home Office

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

• Experience our fun, inclusive, innovative culture that values your unique contributions and supports your professional growth
• Seize daily chances to learn, innovate, and excel. Make a real impact in your field
• Unlock a world of possibilities and resources to propel your career forward
• Thrive in a high-energy, engaging atmosphere. Embrace challenges and reap stimulating rewards
• Embrace the freedom to work from home or any location of your choice. Create your ideal work environment
• Say goodbye to stressful commutes and hello to quality time with loved ones. Achieve a healthy work-life integration to perform at your best