Medical Biller

Responsibilities

• Apply payments and adjustments to patient accounts as appropriate.
• Counsel patients regarding financial obligations related to account balances.
• Follow up with insurance payers regarding appeals and errors, including paper appeals and online portal entry.
• Resolve inquiries, concerns, and complaints related to patient accounts.
• Resolve credit balances and work credit balance reports as needed.
• Review and resolve denied claims on EDI reports.
• Review and release charges on hold in a timely manner.
• Review and code patient medical records in compliance with coding guidelines.
• Review explanations of benefits for correct adjudication and payment.
• Research unpaid claims, denials, and lack of activity to maintain timely payment and cash flow.
• Update patient and insurance demographics as needed.
• Understand CPT, ICD-10, and HCPCS coding.
• Provide feedback to providers regarding medical record documentation.
• Review and resolve EDI rejections and payer denials.
• Print and mail corporate statements and secondary claims.

Education and Experience

• High school diploma or equivalent

Preferred Experience

• 1 year of customer service experience
• Experience in a physician office
• Knowledge of medical terminology

Benefits and Perks

• Medical, dental/orthodontia, and vision coverage from day one
• Paid time off that increases with milestones
• Synthetic ownership opportunity after one year for full-time team members
• Employee assistance program with counseling, legal assistance, financial education, pet adoption support, and identity theft resolution
• Flexible work scheduling
• Career development support and learning programs
• Team-building activities and company events
• Competitive pay
• Quarterly bonuses
• 401(k) with employer match after 90 days