Medical Biller

The Medical Biller is responsible for performing routine medical billing activities to support timely and accurate reimbursement for healthcare services. This position prepares and submits claims, follows up on outstanding balances, resolves routine billing issues, communicates with insurance carriers and patients, and maintains accurate billing records. The Medical Biller performs work within established procedures, payer guidelines, and company policies while contributing to the overall success of the revenue cycle.

Essential duties

• Prepare, review, and submit electronic and paper claims for services rendered.
• Review claims for completeness and accuracy prior to submission.
• Correct claim errors and resubmit claims as necessary.
• Monitor claim status and follow up on unpaid, delayed, or denied claims.
• Research and resolve routine claim denials and reimbursement issues.
• Submit corrected claims and supporting documentation as needed.
• Verify insurance eligibility and benefits when required.
• Work assigned accounts receivable balances to facilitate timely reimbursement.
• Review account balances and identify routine billing discrepancies.
• Generate patient statements and invoices.
• Assist patients with billing inquiries, account balances, and payment questions.
• Prepare and process refund requests and overpayment documentation.
• Document account activity and maintain accurate billing records.
• Prepare correspondence and supporting billing documentation.
• Generate retroactive authorization requests and payer-related forms as needed.
• Maintain organized billing records and supporting documentation.
• Assist with billing reports and departmental projects.
• Perform other duties as assigned.
• Maintain professionalism and confidentiality at all times.
• Adhere to HIPAA requirements and company policies.
• Demonstrate reliability, accountability, and teamwork.
• Complete assigned work accurately and within established timeframes.
• Support departmental and organizational goals.

Work environment

This position primarily operates in a professional office environment and requires prolonged periods of sitting, computer use, and operation of standard office equipment. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions of the position.