JOB SUMMARY The Medical Biller position is responsible for organizing patient medical costs and sending invoices to collect payment from patients and their nurses. The Medical Biller requires data analysis and sound judgement to help patients throughout the billing process.

RESPONSBILITIES

Calculating and collecting payments for medical procedures and services.

Managing payments on patient balances and overseeing insurance claims for health care provider.

Updating patient data, developing payment plans, and preparing invoices.

Communicating with patients about outstanding balances and collecting payments.

Perform posting charges.

Completion of claims to payers.

Submit billing data to the appropriate insurance providers.

Process claims.

Collect delinquent accounts by establishing payment arrangement with patients, monitoring payments and following up with patients when payment lapses occur.

Resolve denial instances.

Achieve maximum reimbursement for services provided.

Deploy, maintain and report on various programs.

Billing private insurance/secondary using computerized billing program and check billing logs for completion/errors.

Verify patients’ insurance coverage.

Manage assigned workflows to include follow up of claims, denials, and appeals for timely receipt of payment.

Send appeals to insurance companies with appropriate documentation.

Answer billing inquiries from patients, staff, customers, and insurance companies and resolve complaints.

Assist with other duties including processing copayments, payment posting and reconciliation.

Correct and resubmit claims after confirming transmission errors with the payer.

Conduct audits.

Other duties as assigned.

SKILLS & ABILITIES

Effective communication skills.

Work independently and collaborate well with others.

Ability to multitask.

Critical thinking 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.

EDUCATION AND EXPERIENCE

Associates degree or higher

Minimum of 3 years experience in medical billing or coding industry.

Proficient in electronic medical records.