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.

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.

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.
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**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.

Medical Biller

Key skills