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As a Medical Biller, you will play a critical role in ensuring accurate and timely submission of medical claims to insurance providers, including Medicare and Medicaid. The ideal candidate will be organized, detail-oriented, and committed to excellence in work. Key responsibilities include securing referrals, verifying eligibility, preparing claims, following up on payments, handling inquiries, and maintaining accurate records. This is an exciting opportunity to grow in the healthcare industry.
Job Responsibility:
Secure referrals and pre-authorizations for procedures, as needed
Verify patient eligibility and benefits for treatments, hospitalizations, and procedures
Review patient bills for accuracy and completeness, resolving any missing information
Prepare, review, and submit claims using billing software (electronic and paper)
Follow up on unpaid claims within the standard billing cycle
Ensure insurance payments align with contractual discounts
Communicate with insurance companies to resolve discrepancies in payments
Submit claims to secondary or tertiary insurances when applicable
Monitor accounts and follow up with patients and insurance providers as needed
Research and appeal denied claims
Handle patient and insurance inquiries regarding billing issues
Establish payment plans and manage collections accounts
Update billing software with rate changes and maintain accurate records
Generate and review cash reports and collections data
Requirements:
Experience in medical billing and claims processing or a related role
Attention to detail and excellent organizational skills
Familiarity with medical billing software and electronic medical records (EMR)
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