Medical billers process patient accounts and submit claims to the appropriate insurance company or payer in an accurate and timely manner according to payer regulations. This role also provides professional assistance to patients, families, physician offices, review organizations, and insurance companies regarding billing and account questions.
Daily responsibilities
- Demonstrate AIDET consistently
- Obtain appropriate insurance and demographic information
- Understand EOBs and billing ticket statuses and take appropriate action
- Review claim edits and act accordingly
- Enter accurate financial notes into the EMR when actions are taken on an account
- Process facility and professional claims
- Maintain patient confidentiality and respect HIPAA requirements
- Answer incoming calls from patients and insurance carriers
- Return phone calls and follow up as needed
- Process primary, secondary, and tertiary insurance
- Follow up on insurance requests and accounts receivable
- Verify eligibility and benefits using insurance websites
- Review authorizations and denials
- Submit coding requests and communicate with the coding department for clarification
- Follow up on aging accounts with insurance companies
- Maintain accurate and complete patient accounts
- Void or clone tickets when appropriate
- Cross-train on other insurance work for coverage support
- Create refunds to the appropriate party
- Complete appeals to insurance companies
- Work insurance follow-up reports and electronic queues
- Perform other duties as assigned
Requirements & Qualifications
Required qualifications
- Proficiency in Microsoft Excel, email composition, business correspondence, and general office skills
- Knowledge of basic office functions, including message-taking, cash drawer balancing, and data entry
- Strong attention to detail and ability to follow directions
- Excellent customer service skills in an office environment
- Experience in an office setting and/or medical billing experience
Required knowledge, skills, and abilities
- Exceptional customer service and written/verbal communication skills
- Positive attitude and commitment to organizational values and behavioral standards
- Ability to work collaboratively, exceed expectations, and maintain a professional demeanor
- Strong problem-solving and critical thinking skills
- Proficiency with computer systems and multi-line phone systems
- Adaptability to changing workflows and situations
Preferred qualifications
- Education or experience in medical office work, referrals, or billing strongly preferred
Location
Idaho, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
4 months ago
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