Medical Biller Specialist

4 weeks ago

Apple Valley, Minnesota, United States HIGH DESERT PACE Full time

Job Summary

The Medical Biller Specialist position at HIGH DESERT PACE is responsible for organizing patient medical costs and sending invoices to collect payment from patients and their insurance providers.

This role requires data analysis and sound judgment to help patients throughout the billing process.

Key Responsibilities

  • Calculating and collecting payments for medical procedures and services.
  • Managing payments on patient balances and overseeing insurance claims for healthcare providers.
  • Updating patient data, developing payment plans, and preparing invoices.
  • Communicating with patients about outstanding balances and collecting payments.
  • Performing posting charges and completing claims to payers.
  • Submitting billing data to the appropriate insurance providers and processing claims.
  • Collecting delinquent accounts by establishing payment arrangements with patients, monitoring payments, and following up with patients when payment lapses occur.
  • Resolving denial instances and achieving maximum reimbursement for services provided.
  • Deploying, maintaining, and reporting on various programs, including billing private insurance and secondary using computerized billing programs.
  • Verifying patients' insurance coverage and managing assigned workflows to include follow-up of claims, denials, and appeals for timely receipt of payment.
  • Sending appeals to insurance companies with appropriate documentation and answering billing inquiries from patients, staff, customers, and insurance companies.
  • Resolving complaints and assisting with other duties, including processing copayments, payment posting, and reconciliation.
  • Correcting and resubmitting claims after confirming transmission errors with the payer and conducting audits.

Requirements

  • Effective communication skills and the ability to work independently and collaborate well with others.
  • Ability to multitask and think critically on every aspect of claim submission.
  • Proficient with Microsoft Word, Excel, billing software, 10-key, ICD-10 coding, and medical terminology.
  • Experience with HIPAA and compliance-sensitive environments.
  • Strong attention to detail and ability to collaborate independently and within a team.
  • Ability to work well under pressure, take initiative, and be flexible and cooperative.
  • Associates degree or higher and minimum of 3 years experience in medical billing or coding industry.
  • Proficient in electronic medical records.

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