What are the responsibilities and job description for the Billing Assistant position at Advocare LLC?
Description:
Medical biller duties include submitting insurance claims, verifying patient information, and following up on unpaid or denied claims. They are responsible for ensuring accurate billing for healthcare services by reviewing patient records, generating invoices, and managing the payment process to maintain a healthy revenue cycle for the practice. Claim management
- Submit claims: Prepare and submit medical claims to insurance companies and other payers.
- Verify information: Confirm patient insurance benefits and ensure all information is accurate and up-to-date.
- Follow up on claims: Track the status of claims and follow up on unpaid or delayed payments.
- Appeal denials: Investigate and appeal claims that have been denied or rejected by insurance companies.
Patient and billing administration
- Generate invoices: Create and send invoices to patients for any remaining balances after insurance has paid.
- Manage payments: Post payments, track account balances, and manage accounts receivable.
- Handle inquiries: Answer patient questions regarding billing and charges.
- Set up payment plans: Help patients set up payment plans for outstanding balances.
Compliance and reporting
- Maintain records: Keep accurate billing and patient records in compliance with healthcare regulations.
- Monitor discrepancies: Resolve any financial discrepancies or issues that arise.
- Update software: Maintain billing software by updating information like rate changes and collection reports.
- Education and experience: A high school diploma or equivalent is required. Experience inMedical billing a must.
- Technical knowledge: Proficiency in medical billing software, electronic health records (EHR) systems, and office productivity tools (e.g., Microsoft Office) is essential.
- Billing and coding expertise: Strong knowledge of medical terminology and standardized coding systems like ICD-10, CPT, and HCPCS is necessary to ensure claim accuracy.
- Analytical skills: Excellent analytical and problem-solving skills are required to investigate and resolve complex billing issues and denials.
- Communication skills: Must be able to communicate effectively and professionally with patients, providers, and insurance companies, often during sensitive financial discussions.