Medical Biller (Healthcare)

The Medical Billing Specialist is responsible for collecting, posting, and managing patient account payments. Responsible for submitting patient claims to insurance companies and following up on the claims with insurance companies.

Essential Duties and Responsibilities
The essential functions include, but are not limited to the following:
Preparing and submitting clean claims to various insurance companies either electronically or by paperAnswering questions from patients, clerical staff, and insurance companiesIdentifying and resolving patient billing complaintsPreparing, reviewing, and sending patient statementsEvaluating patients financial status and establishing budget payment plans; following and reporting status of delinquent accountsReviewing accounts for possible assignment and making recommendations to the Billing Supervisor; preparing information for the collection agency.Performing daily backups on office computer systemPerforming various collection actions including contacting patients by phone; correcting and resubmitting claims to third party payersProcessing payments from insurance companies and preparing a daily depositParticipating in educational activities and attending monthly staff meetingsMaintaining strictest confidentiality; adhering to all HIPAA guidelines and regulationsPerforming other work-related duties as assigned
Obtain Authorization for new and existing services Run Eligibility checks and identify if prior authorization is required Ability to work as a team and pick up different job duties to secure the day-to-day flow of a busy office setting.