Medical biller

JOB DESCRIPTION :

Overview of the Role

This role deals with medical billing. You will be required to manage all the billing requirements from the
time of admission till insurance claim. You will work on a number of tasks requiring data analysis, in-depth
evaluation and exercising judgment within the appropriate scope of practice.
Role Dimensions
Prepare and submit billing data and medical claims to insurance companies.
Ensure the patients medical information is accurate and up to date.
Prepare bills and invoices, and document amounts due for medical procedures and services.
Collect and review referrals and pre-authorizations.
Convert dosages to billable units.
Monitor and record late payments.
Follow-up on missed payments and resolve financial discrepancies.
Examine patient bills for accuracy and request any missing information.
Investigate and appeal denied claims.
Help patients develop patient payment plans.
Maintain billing software by updating rate change, cash spreadsheets, and current collection reports.

Perform Medicare/Medi-Cal reviews and audits.
Implement, maintain and report on programs initiated by the practice.

Knowledge & Skill

Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer
requirements and systems.
Competent use of computer systems, software, and 10 key calculators.
Familiarity with CPT and ICD-10 Coding.
Knowledge of accounting and bookkeeping procedures.
Knowledge of medical terminology likely to be encountered in medical claims.
Good Communication.
Problem solving.
Critical thinker.
Detail oriented.
Team player.
Ability to Multitask.

Requirements
Minimum Requirements

Bachelors degree in Business, Health Care Administration, Accounting or relevant field.
A minimum of 6 months to 4 years experience as a Medical Biller or similar role.

Solid understanding of billing software and electronic medical records.
Must have the ability to multitask and manage time effectively.
Excellent written and verbal communication skills.
Outstanding problem-solving and organizational abilities.