Medical Biller JobDescription

Who is a Medical Biller?

Medical Billers are responsible for overseeing the process of submitting claims to insurance companies for reimbursement. They are responsible for reviewing medical codes, patient records, and insurance details to ensure that bills are submitted accurately. Medical Billers also follow up on claims to ensure timely payments, addressing any issues or denials by contacting insurance providers or patients. They maintain meticulous records of billing information and patient accounts, ensuring compliance with healthcare regulations. Additionally, Medical Billers communicate with patients about their bills and provide assistance in understanding charges or payment plans, making their role essential for both financial operations and customer service.

Medical Biller Job Brief

WBecome a valued member of our healthcare team as a dedicated and detail-driven Medical Biller. The ideal candidate will manage insurance claims, ensure timely payments, and address any discrepancies in patient billing. As a Medical Biller, you will play a key role in ensuring that healthcare services are paid for accurately and efficiently while maintaining compliance with healthcare regulations. Ensure timely payments by monitoring and following up with insurance providers.

Medical Biller Job Duties

• Review patient information to ensure insurance coverage and eligibility are accurate.
• Prepare and submit accurate insurance claims for medical services.
• Ensure all medical billing codes are correct and up-to-date.
• Follow up with insurance companies to ensure timely payment.
• Resolve billing discrepancies or claim denials by communicating with insurers or healthcare providers.
• Maintain patient billing records and update account information as needed.
• Ensure that all billing practices comply with healthcare regulations and privacy standards (HIPAA).
• Engage with patients to clarify billing concerns and offer payment solutions.
• Monitor payment statuses and generate billing statements for patients.
• Provide support to medical professionals by clarifying billing matters.

Medical Biller Job Responsibilities:

• Process and submit insurance claims for medical services rendered.
• Review and update patient billing records and insurance information.
• Verify patient eligibility and insurance coverage before billing.
• Ensure that all billing codes are accurate and compliant with regulations.
• Follow up on unpaid claims and address any discrepancies or denials.
• Maintain accurate billing records and patient account information.
• Communicate effectively with insurance companies and patients regarding billing issues.
• Assist in explaining billing statements and payment options to patients.
• Ensure compliance with HIPAA and other healthcare regulations.
• Generate monthly statements and track outstanding balances.

Medical Biller Job Requirements and Skills:

• High school diploma or equivalent required; preference given to candidates with certification in medical billing or coding.
• Established experience as a Medical Biller or in a similar capacity.
• Familiarity with medical billing codes (ICD-10, CPT, HCPCS).
• Knowledge of healthcare insurance and claims processes.
• A keen eye for detail and exactness in billing and coding processes.
• Proficiency in medical billing software and Microsoft Excel.
• Excellent communication and customer service skills.
• Ability to manage multiple billing tasks and deadlines.
• Understanding of HIPAA compliance and confidentiality standards.
• Problem-solving skills to resolve billing discrepancies and claim denials.