Medical Biller

2 weeks ago


Lagrange, United States UrgenCare LLC Full time

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

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