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Medical Biller
3 months ago
The Medical Office Biller is responsible for managing the billing and coding processes, submitting insurance claims, and handling patient billing inquiries. The ideal candidate will possess a strong understanding of medical billing practices, coding systems, and insurance regulations, along with excellent organizational and communication skills.
Key Responsibilities:
- Billing and Coding: Accurately code and process medical claims using ICD-10, CPT, and HCPCS codes. Ensure all billing is in compliance with current regulations and payer requirements.
- Claims Submission: Prepare and submit claims to insurance companies and government payers. Verify patient information, insurance coverage, and benefits.
- Claims Follow-Up: Monitor and follow up on outstanding claims, denials, and rejections. Resolve issues with insurance companies and resubmit corrected claims as needed.
- Patient Billing: Generate patient statements, process payments, and manage patient billing inquiries. Assist patients with understanding their bills, payment options, and insurance coverage.
- Financial Reconciliation: Reconcile payments received against billed services and maintain accurate records of all transactions. Prepare financial reports as needed.
- Compliance: Stay current with changes in billing practices, insurance policies, and healthcare regulations to ensure compliance.
- Customer Service: Provide excellent customer service to patients, addressing billing issues or concerns with professionalism and empathy.
- Documentation: Ensure all billing and coding documentation is complete and accurate. Collaborate with healthcare providers to obtain necessary documentation and correct coding errors.
Qualifications:
- Education: High school diploma or equivalent required; associate’s or bachelor’s degree in healthcare administration, medical billing, or a related field preferred.
- Experience: Minimum of 3 years of experience in medical billing or coding. Experience in a specific pediatric medical specialty or setting is a plus.
- Certification: Certification from a recognized medical billing and coding organization (e.g., AAPC, AHIMA) preferred but not required.
- Skills:
- In-depth knowledge of medical billing codes, insurance procedures, and payer requirements.
- Strong attention to detail and accuracy.
- Excellent organizational and time-management skills.
- Effective communication skills, both written and verbal.
- Proficiency in medical billing software and electronic health records (EHR) systems.
- Ability to handle sensitive information with confidentiality and professionalism.
Benefits:
- Competitive salary
- Health, dental, and vision insurance
- Retirement savings plan
- Paid time off
