Job Details
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Job Description
Job Overview: We are seeking a detail-oriented and experienced Medical Biller to join our healthcare team. The ideal candidate will be responsible for managing both self-pay and insurance billing processes efficiently and accurately. This role requires strong organizational skills, attention to detail, and a comprehensive understanding of medical billing procedures and regulations.
Responsibilities:
- Generate and submit claims to insurance companies following billing guidelines and requirements.
- Review patient bills for accuracy and completeness and obtain any missing information.
- Verify patient insurance coverage, eligibility, and benefits.
- Investigate and appeal denied claims as necessary.
- Answer patient and insurance inquiries regarding claims and billing issues.
- Monitor and follow up on unpaid claims within standard billing cycle timeframe.
- Maintain confidentiality of all patient and financial information.
- Stay up-to-date with insurance regulations, payer policies, and industry trends.
- Provide support and training to staff regarding billing and coding issues.
Job Requirements
Requirements:
· Proven experience as a Medical Biller, preferably in a healthcare setting.
· Knowledge of medical terminology, procedures, and coding (ICD-10)
· Familiarity with insurance guidelines and requirements for different payers.
· Strong analytical and problem-solving skills.
· Excellent communication and interpersonal skills.
· Ability to prioritize and manage multiple responsibilities.
· Proficiency in medical billing software and electronic health records (EHR).
· Certification in Medical Billing and Coding is preferred.
Education:
- Bachelor's Degree
- Additional education or certification in Medical Billing and Coding is a plus.
- Proficiency in M.S. applications
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