Medical Biller

Responsibilities /Duties/Functions/Tasks.

· Process insurance denials received by phone dispute, written appeal, or corrected claim.

· May perform “soft” collections for patient past due accounts. This may include contacting and notifying patients via phone or mail.

· Understands managed care authorizations and limits to coverage such as the number of visits. This is encountered often when billing for specialties.

· Review payer rules to understand reason for denial.

· Monitor daily billing processes.

· Provide billing expertise for specific physician processes.

· Compose correspondence to payer regarding payment disputes and/or appeals.

· Interpret progress notes, operative reports, discharge summaries and charge documents to determine services provided.

· Communicate with patients to verify correct demographics and coordination of benefits on denied claims; Refile claims as needed.

· Refer complex issues to the supervisor for review and or action.

· Perform other duties as assigned.

· Post insurance and patients and manage accounts.

· Answer patient inquiries on account status and charges.

· Reports to AMS Billing Coordinator and provider office manager.

Qualifications

- Excellent written and verbal communication skills

- Excellent customer service skills are required.

- MS Office experience, particularly in MS Word and MS Excel

- Ability to type at least 30 wpm

- Prior appeals experience electronically and ability to obtain claim status.

- Ability to multi-task and work in fast-paced environment.

- Detail-oriented

- Basic understanding of healthcare plans

- Be able to read and understand medical benefits.

- Bilingual is a plus.

- Medical terminology (CPT, ICD 10) knowledge

- Perform other duties as assigned.

Education and Experience

- High school Diploma or GED

- Medical Collections 1-2 years (Required)

-Medical Billing Certificate (Preferred)

Please note that this job description is not exhaustive and additional duties may be assigned as needed.

Job Type: Full-time

Pay: From $16.55 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Work setting:

• Medical office

Work Location: In person