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Medical Biller
2 weeks ago
We are seeking a skilled Medical Biller to join our client's healthcare team. The ideal candidate will be responsible for accurately and efficiently processing medical claims and invoices, ensuring timely reimbursement from insurance companies and patients. The Medical Biller will work closely with healthcare providers, insurance companies, and patients to resolve billing discrepancies and ensure compliance with regulatory requirements.
Job Responsibilities:
- Claims Processing: Prepare and submit accurate medical claims to insurance companies, Medicare, and Medicaid for reimbursement.
- Billing: Generate and send invoices to patients for services rendered, following up on outstanding balances and resolving billing discrepancies.
- Insurance Verification: Verify patients' insurance coverage and eligibility, ensuring all necessary authorizations and referrals are obtained before services being rendered.
- Coding: Assign appropriate medical codes (ICD-10, CPT, HCPCS) to diagnoses and procedures for billing purposes, ensuring compliance with coding guidelines and regulations.
- Payment Posting: Record and reconcile payments received from insurance companies and patients, applying them to the appropriate accounts in the billing system.
- Denial Management: Investigate and appeal claim denials and rejections, identifying and addressing root causes to prevent future issues.
- Patient Communication: Communicate with patients regarding billing inquiries, payment plans, and financial assistance options, providing excellent customer service while resolving concerns.
- Documentation: Maintain accurate and up-to-date records of billing activities, including claims submissions, payments, and correspondence with insurance companies and patients.
- Compliance: Adhere to all relevant healthcare regulations, including HIPAA and billing compliance guidelines, to ensure the integrity and confidentiality of patient information.
