Medical Billers are responsible for billing patient accounts to the appropriate insurance company or payer in an efficient, accurate, and timely manner. The role supports patient billing inquiries and communicates professionally with patients, families, physician offices, review organizations, and insurance companies.
Key responsibilities include:
- Obtain appropriate insurance and demographic information
- Understand EOBs, billing ticket statuses, and claim edits, and take appropriate action
- Enter accurate financial notes in the EMR
- Process facility and professional claims
- Handle patient and insurance carrier phone calls
- 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 as needed
- Follow up on aging accounts with insurance companies for payment
- Maintain accurate and complete patient accounts
- Void or clone tickets when appropriate
- Create refunds to the appropriate party
- Complete appeals to insurance companies
- Work insurance follow-up reports and electronic queues
Requirements & Qualifications
Required Experience and Skills
- 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
- Exceptional written and verbal communication skills
- Ability to work collaboratively 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
Location
Idaho, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
2 months ago
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