What are the responsibilities and job description for the Medical Biller position at POPS aba?
About the Role
We are looking for a detail-oriented and experienced Medical Biller to join our team. In this role, you will be responsible for handling the billing cycle—from submitting claims to following up on payments—while ensuring accuracy and compliance with current regulations.
Key Responsibilities
- Prepare and submit insurance claims.
- Follow up on unpaid or denied claims to ensure timely reimbursement.
- Review patient records for completeness and accuracy prior to billing.
- Manage collections by contacting patients about outstanding balances and setting up payment plans when necessary.
- Maintain accurate records of all billing activities, payments, and communications with patients and insurers.
- Process and track payments from insurance providers, patients, and third-party payers.
- Reconcile accounts, investigate discrepancies, and follow up on unresolved balances.
- Collaborate with insurance companies to resolve denied or delayed claims.
- Work closely with providers and team members to address billing issues or discrepancies in patient records.
- Use EMR (Electronic Medical Records) and billing systems to document and manage billing workflows effectively.
- Stay informed on current medical billing regulations, coding practices, and insurance policies.
Qualifications
- Minimum of 3 years of proven experience in medical billing.
- Minimum of 2 years’ Out-Of-Network billing experience is required.
- Strong knowledge of medical terminology, medical record management, and ICD coding.
- Proficient with EMR and billing systems.
- Excellent attention to detail and strong organizational skills.
- Clear and professional communication skills for interacting with patients, insurance representatives, and healthcare providers.
- Strong analytical and problem-solving abilities.
- Experience with ABA billing is preferred but not required.
- Familiarity with CentralReach is strongly preferred but not required.
Benefits
- Health insurance
- Paid time off
- We are proud to be an Equal Opportunity Employer, welcoming individuals of all backgrounds to apply and contribute to our diverse team