Medical Biller (REMOTE OR IN OFFICE)

ESSENTIAL FUNCTIONS:

• Checking eligibility and benefits verification for treatments and procedures.

• Reviewing patient bills for accuracy, completeness, and obtaining any missing information.
• Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.
• Following up on unpaid claims within standard billing cycle timeframe.
• Checking each insurance payment for accuracy and compliance with contract discount.
• Calling insurance companies regarding any discrepancy in payments. Identifying and billing secondary or tertiary insurances.

• Reviewing accounts for insurance of patient follow-up.
• Researching and appealing denied claims.
• Answering all patient or insurance telephone inquiries pertaining to assigned accounts.
• Setting up patient payment plans and work collection accounts.
• Updating billing software with rate changes. Updating cash spreadsheets and running collection reports.

Requirements

EDUCATION, EXPERIENCE AND SPECIAL SKILLS REQUIRED:

• A minimum of 2-3 years of recent experience in medical billing required
• Prior medical office experience preferred
• Excellent computer skills and interpersonal skills
• Knowledge of full revenue cycle (processing claims, resolving denials, maximizing reimbursement, A/R)
• Must be customer service focused.

• Ability to multitask
• Proficient in Outlook, Microsoft Suite which includes Word, Excel, etc.
• Excellent verbal and written communication skills, especially to a diverse range of audiences and settings.
• The ability to make decisions.
• The ability to handle multiple tasks while working in a fast-paced environment and meet deadlines

• Ability to deal with high pressure
• Flexible schedule to include late afternoon and evening hours and overtime and weekends as needed to provide support
• Demonstrates passion for the role
• Partners and collaborates effectively to create win wins with internal operational partners and external partners
• Strong relationship building and influencing skills with the ability to balance education vs. accountability