6000 Medical Biller

NEEDING EXPERIENCED IN OFFICE MEDICAL BILLER TO JOIN OUR AMAZING TEAM  

PREFERRED PRIMARY CARE BILLING EXPERIENCE

The medical biller handles billing and collections with various insurance providers (i.e. BCBS, United Health, Medicaid, Tricare, Humana, Managed Care Plans etc.). Responsible for compiling data, computing fees, and maintaining billing records. Under direct supervision, performs complex data entry and related operations in posting payments from patients and third parties. Reviewing patient charts ensuring all billing parameters having been completed and covered for maximum payment.  Posts payments and credits in EHR system, while maintaining compliance and resolving account problems.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following:  Other duties may be assigned.

Consults with resources such as fee charts, business office guidelines, government programs, and insurance company representatives in order to determine specific charges and payment processing information.

Reviews documents such as patient records, charge slips, in order to compute fees and charges due.  Computes rates for services, adjustments, credit terms, and discounts in order to complete billing documents.

Creates billing records for services provided to patients; sends billing statements to patients or third party payers as appropriate.  Creates periodic reports.

Verifies accuracy of billing data and revises any errors.

Communicates with patients or third-party representatives by telephone, fax, e-mail, or postal mail to verify accuracy of charges, investigate complaints, or to correct errors in accounts. Answers mail and telephone inquiries regarding rates, services, and procedures.

Receives payments from third party payers, or from patients via check or credit card; posts and reconciles payments to ledgers.

Reviews refunds and adjustments; reconciles, corrects, and applies adjustments to billing records.

Compiles/Submits required documentation for insurance audits/reviews.