What are the responsibilities and job description for the Medical Biller position at UrgenCare LLC?
This is not a remote position.
SUMMARY: Accurately inputs information into the billing system, processes insurance claims and billing by obtaining background information and making arrangements to obtain monies owed.
DUTIES AND RESPONSIBILITIES:
- Identifies and resolves billing queries/problems.
- Posts payments and applicable credits to accounts while maintaining balance sheets.
- Researches and processes refund requests and overpayments.
- Prepares correspondence and/or collection letters.
- Communicates with payees to answer questions and provide additional supporting documentation.
- Prepares letters of appeal to insurance companies if the company refuses to pay contracted claims and/or denies a claim; submits documentation necessary to support claim; resubmits claims with corrections if needed for payment for all insurance payers.
- Enters data and charges from charts into the billing system; generates all required reports.
- Answers phones and assists patients with accounts.
- Generates and submits electronic claims and statements at designated intervals; corrects any errors for complete and accurate transmission of data.
- Abides by state collection and credit regulations; interprets and complies with state/federal regulations, laws, and guidelines.
- Performs additional duties including but not limited to copying checks received and recording payment, faxing information as required, generating retroactive authorization requests, and verifying medical eligibility.
- Performs other related duties as assigned by management.
QUALIFICATIONS:
- High school diploma or equivalent
- Two to four years related experience or equivalent
- Excellent written and oral communication skills
