Job Description - Medical Biller


  • Reviews assigned claims daily for accuracy

  • Monitors payer updates and bulletins and shares with coworkers/manager as appropriate

  • Responsible for reviewing and working accounts receivable and following up on unpaid claims with insurance companies

  • Post insurance and personal payments in an accurate and timely manner

  • Prepare and ensure accuracy of daily cash report

  • Performs requires edit corrections and submits claims/rebills to payers in a manual or electronic format to ensure accurate and timely filing

  • Monitors assigned bill holds and other work lists and ensures expeditious resolution

  • Effectively utilizes payer websites as needed in the execution of daily tasks

  • Transfer, adjust, and refund payments when appropriate for accounts

  • Handles telephone interactions with courtesy and respect ensuring appropriate interactions with patients and staff. Responds promptly to all requests

  • Must be able to understand and direct patients with appeals, grievances, and complaints to appropriate resolution

  • Prepares Good Faith Estimates

  • Interacts with other departments, ensuring coordination between coding/billing and providers to ensure timely posting and billing of all claims

  • Provides positive and productive support to the team and promotes teamwork

  • All other duties as assigned by the manager


 

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