Medical Biller

Role Overview

• 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.

Requirements

• Education: High school diploma or equivalent required; additional medical billing and coding certification is preferred.
• Experience: Minimum of one year of experience in medical billing, preferably in a healthcare setting.
• Knowledge: Proficient in medical terminology, billing software (e.g., Epic, Cerner), and insurance claim processing procedures.
• Skills: Strong attention to detail, excellent organizational and time management skills, and the ability to multitask in a fast-paced environment.
• Communication: Effective verbal and written communication skills, with the ability to interact professionally with patients, providers, and insurance representatives.
• Problem-Solving: Demonstrated ability to analyze billing issues, identify solutions, and implement process improvements to optimize revenue cycle management.
• Teamwork: Ability to collaborate with colleagues across departments to resolve billing-related issues and achieve organizational goals.
• Internet Connection:
• Primary internet connection with a minimum speed of 15 Mbps.
• Backup internet connection with at least 10 Mbps.
• Backup connection must be capable of supporting work during a power outage.
• Primary Device:
• Desktop or laptop equipped with at least:
• Intel Core i5 (8th generation or newer), Intel Core i3 (10th generation or newer), AMD Ryzen 5, or an equivalent processor.
• A minimum of 8 GB RAM.
• Backup Device:
• Must meet or exceed the performance of an Intel Core i3 processor.
• Must be functional during power interruptions.
• Peripherals and Workspace:
• A functioning webcam.
• A noise-canceling USB headset.
• A quiet, dedicated home office space.
• A smartphone for communication and verification purposes.

Benefits

• Join Our Dynamic Team: Experience our fun, inclusive, innovative culture that values your unique contributions and supports your professional growth.
• Embrace the Opportunities: Seize daily chances to learn, innovate, and excel. Make a real impact in your field.
• Limitless Career Growth: Unlock a world of possibilities and resources to propel your career forward.
• Fast-Paced Thrills: Thrive in a high-energy, engaging atmosphere. Embrace challenges and reap stimulating rewards.
• Flexibility, Your Way: Embrace the freedom to work from home or any location of your choice. Create your ideal work environment.
• Work-Life Balance at Its Best: Say goodbye to stressful commutes and hello to quality time with loved ones. Achieve a healthy work-life integration to perform at your best.