Medical Billing Representative

The Medical Billing Representative posts payments received from insurance companies, cash payments, and payment plans to the patient's accounts; enters adjustments, write-offs, and reconciles the patient' s accounts. The Medical Billing Representative reviews claims for non- payment, posts the zero payment to the patient’s account and writes off the unpaid procedures and claims; resubmits claims with corrected codes, submits secondary claims, and mails statements for co-pays and balances due on the account. The Billing Specialist works reports; processes refunds and check requests; does account clean up, and serves as a resource to the medical practices to help improve billing processes and accuracy. Calls resident physicians for confirmation.

• SPECIFIC DUTIES AND RESPONSIBILITIES

The following are the specific duties and responsibilities of the Medical Billing Representative.

• Upload insurance card images and patient information into EHR, AMD
• Escalate missing card information to Mindful Support Services team for follow-up and acquisition
• Process and audit patient intake documents and enter data into EHR, AMD
• Ensure all patients have submitted required documentation prior to their scheduled appointment.
• Review spreadsheet log of patients with due payment for Telehealth services.
• Examine visits to be charged.
• Look up chart number and cross-reference.
• Process payment and update status of record.
• Confirm patient and any dependent’s information.
• Verify insurance carrier, policy and group number, and employer.
• Tax ID and office address, where applicable.
• Enter information into EHR and escalate missing information.

REQUIREMENTS

• Bachelor’s degree in business, health care administration, accounting or relevant field is recommended.
• A minimum of 1 year experience as a medical biller or similar role.
• Must have the ability to multitask and manage time effectively.
• Excellent written and verbal communication skills.
• Outstanding problem-solving and organizational abilities.