25 Nov

Medical Biller

medical billingPosition Summary

The Medical Biller will provide support to the management of accounts receivable and function as billing liaison to intermediaries, insurance carriers, patients and guarantors. The Medical Biller will be responsible for the processing of payments, denials, refunds, secondary claims, filing and balancing monthly spreadsheets and functions as liaison between the Professional Billing Office and the Finance Departments of each operating unit.

Duties and Responsibilities

  • Works with insurers to effectively resolve issues for claims over 60 days old in order to maximize reimbursement
  • Responsible for posting and processing denied claims
  • On a regular basis, audits the accuracy of randomly-selected medical claims including diagnosis codes, insurance eligibility, and timeliness of filing
  • Enters patient billing data information and related payments for all insurances into the practice management system
  • Verifies insurance coverage for all third-party liability illnesses/injuries
  • Maintain compassion with patients serviced, while following compliance and privacy guidelines

Skills and Experience

  • High school diploma or equivalent required three to five years of experience in third party medical billing
  • Working knowledge of medical accounts receivable software programs
  • Competence in math and knowledge of GAAP accounting principles as well as CPT and ICD-9 requirements
  • Excellent communication and interpersonal skills as well as demonstrated ability to use initiative and independent judgment
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