Medical Biller

The medical biller position responsibilities are to submit accurate and timely claim billing and reports based on health plan, payor, or contract requirements. This also involves accounts receivable payment follow-up, appeals, and refunds if necessary.

Responsibilities and Duties

Essential Functions:

• Complete health plan billings based on requirements.
• Compile proper paperwork and conduct appropriate research to appeal claim denials, including requests for refunds/credits when applicable.
• Review and monitor reimbursements due from different payors to determine appropriate collection methods.
• Communicate effectively and professionally with external customers.
• Resolve payment issues with carriers, (e.g. denials, partial payments, etc.)
• Review, modify, and re-bill rejected/denied claims.
• Assist Cash department on payor backup as needed for payments received.
• Adhere to and comply with information systems security. Know and follow Information Systems security policies and procedures. Attend Information Systems security training, when offered, and report information system security problems.
• Adhere to all company policies and procedures.
• Work overtime if assigned by Management.
• Perform other duties as assigned.
• Be flexible with shifting daily priorities.
• Meet deadlines, working within tight time constraints.
• Handle a large volume of work.
• Meet or exceed established standards for productivity and quality.

Required Skills

• Flexible, high achiever with ability to learn quickly and meet department goals and deadlines consecutively.
• Strong attention to detail.
• Organized, detail oriented with excellent follow through abilities.
• Communicate effectively, both orally and written.
• Good computer skills.
• Strong alpha numeric data entry skills with a minimum of 35 WPM with a 90% accuracy rate.
• HIPPA Requirements.
• Work in a spirit of teamwork and cooperation.
• Convey a sense of competence and commitment.
• Use initiative to learn new skills, enhance personal knowledge and improve communications.
• Demonstrate ability to work well with team members.
• Demonstrate flexibility with shifting daily priorities

Qualifications

• High School Diploma or general education degree (GED) required.
• Ambulance billing experience or equivalent combination of education and experience required.