Medical Biller

Job Description

Medical Biller Duties and Responsibilities

• Ensure patient information is accurate and complete
• Request any missing patient information
• Review referrals and authorizations
• Confirm patient benefits and insurance
• Follow all regulations and guidelines set by Medicare, state programs, and HMO/PPO policies
• Transfer insurance claims and billing data to billing software
• Create both paper and electronic copies of documentation
• Maintain a tracking system of claims unable to bill and communicate accordingly
• Monitor and date billing data/claims transactions
• Maintain rejected claims in clearinghouse and work all denials
• Monitor and resolve claims discrepancies
• Arrange payment plans and timelines for payments
• File and maintain organized documentation of all billing records
• Follow set billing processes and procedures
• Maintain knowledge of coding guidelines and correct coding claims submission
• Work with personal information and maintain patient confidentiality

Medical Biller Requirements and Qualifications

• High school diploma or equivalent; Medical Billing Certification preferred
• Two (2) years' previous experience as a medical biller required
• Able to multitask, prioritize, and manage time efficiently
• Self-motivated and self-directed; able to work without supervision
• Excellent verbal and written communication skills
• Proficient computer skills, Microsoft Office Suite (Word, Outlook, and Excel); working knowledge of billing and clearinghouse software
• Able to analyze problems and strategize for better solutions