- To ensure that all patient information is accurate and complete and request any missing patient information.
- To obtain and review referrals and authorizations for treatments.
- To confirm patient benefits and insurance eligibility.
- To follow and adhere to all regulations and guidelines set by state programs.
- To transfer insurance claims and billing data to billing software.
- To update billing software with rate changes.
- To create both paper and electronic copies of documentation.
- To develop and maintain a tracking system of incoming and late payments.
- To follow up on late payments and initiate late payment notices to relevant parties.
- To work with personal information and maintain patient confidentiality.
- To monitor and resolve financial discrepancies.
- To handle and answer all patient or insurance telephone inquiries.
Education and Experience Required
The basic education and experience required for being a medical biller are:
- A high school diploma.
- Knowledge of business and accounting processes usually obtained from an associate’s degree, with a degree in Business Administration, Accounting, or Health Care Administration is preferred.
- A minimum of one to three years of experience in a medical office setting.
However different setups prefer people with varying or none working experience and train the c as per their setup and requirements.
Skills set, abilities, and knowledge required:
Apart from having the required qualifications, there are a few skills or abilities which are required for being a medical biller. Proficiency in the following areas is generally preferred by the employer:
- Should possess excellent verbal and written communication skills.
- Should have a good knowledge of insurance guidelines as well as schemes like HMO/PPO, other payer requirements, and systems.
- Should be competent enough to use computer systems, software, and calculators.
- Must be familiar with CPT and the latest coding guidelines.
- Should possess good communication skills and must be able to handle and resolve issues of patients and insurance payers.
- Should be comfortable to be a part of the team and work in a team environment.
- Should be able to prioritize the tasks and handle multiple situations.
- Should have a problem-solving aptitude and ready to work on resolving discrepancies.
- Should have a sound knowledge of accounting and bookkeeping procedures.
Job Type: Full-time
Pay: $15.00 - $19.00 per hour
Expected hours: 40 per week
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Experience:
- Medical billing: 5 years (Required)
Work Location: In person