Medical Biller

The primary function of the Medical Biller is to work all rejected/outstanding claims for all assigned accounts receivable on order to maintain/maximize reimbursement for services provided to patients.

Specific Job Responsibilities:

• Accurately review and process medical claims for insurance reimbursement
• Submit electronic and paper claims
• Track payments and retrieve EOBs (explanation of benefits)
• Apply/post payments
• Investigate and resolve billing discrepancies, denials, and rejections
• Follow up on unpaid claims and aging accounts receivable to ensure timely payment
• Communicate with insurance companies, patients, and healthcare providers to address billing inquiries and disputes
• Maintain up-to-date knowledge of medical billing regulations, coding guidelines, and insurance policies
• Ensure compliance with HIPAA regulations and patient confidentiality standards.
• Follow up on all daily correspondence received on a timely basis.
• Verify patient’s insurance information using insurance company portals, phone calls and/or letters to patients and/or insurance carriers and/or their websites.
• Thoroughly research all information needed to complete billing process including charge information from physicians and/or requesting medical records.
• Re-bill accounts once appropriate changes have been made to correct the denied claim and submits corrected electronic or paper claims to the appropriate insurance carrier.
• Reviews EOB's for denial or partial payment information.
• Interact with insurance companies to resolve issues delaying the collections of accounts.
• Research any unpaid balances and resolves payment on denied or partial paid claims.
• Ensures accurate entry of all work into all systems.
• Receives and respond to patient and office calls regarding patient accounts on a timely basis.
• Responsible to keep up to date with current insurance billing requirements and changes by reading payer newsletters and other publications.

TEAMWORK

• Consistently work in a positive and cooperative manner with fellow team members.
• Assists other team members in the performance of their assignments.
• Considers the impact of your actions on team members throughout the organization.

PROBLEM SOLVING

• Demonstrate sound judgment by taking appropriate actions regarding questionable finding or concerns.
• Consistently evaluates work and determines if further steps are needed to meet patient and practice expectations.
• Ensures compliance with regulatory standards.

Job Type: Full-time

Pay: $18.00 - $30.00 per hour

Expected hours: 20 – 40 per week

Benefits:

• 401(k) matching
• Flexible schedule
• Health insurance
• Paid time off

Experience:

• CPT coding: 3 years (Preferred)
• ICD-10: 3 years (Preferred)
• EMR systems: 3 years (Preferred)

Ability to Relocate:

• Buffalo, NY 14221: Relocate before starting work (Required)

Work Location: In person