Medical Biller / AR Specialist

Position Summary

The Medical Biller is responsible for organizing patient medical costs and sending invoices to collect payments from patients and their insurers. Duties include calling patients to discuss payment, developing reasonable payment plans, entering patient data into administrative systems, and recording information about outstanding claims.

Duties and Responsibilities

• Accurately and timely submit medical claims to insurance companies and other payers.
• Verify patient insurance coverage and obtain necessary authorizations for medical procedures.
• Review and analyze medical records to ensure appropriate coding of diagnoses and procedures.
• Resolve billing issues with insurance companies and other payers.
• Follow up on unpaid claims and resubmit claims as necessary.
• Work closely with other departments, such as medical coding and billing, to ensure accurate and timely billing processes.
• Maintain accurate and up-to-date patient and billing records in accordance with regulatory requirements.
• Provide excellent customer service to patients and other stakeholders.
• Keep abreast of changes in medical billing regulations and ensure compliance with these changes.