MEDICAL BILLER/INSURANCE COLLECTIONS

Medical Biller

·         Utilizes strong communication and customer service skills

·         Consistently practices good judgment and problem-solving skills

·         Prepares and submits clean claims to the insurance either electronically or via paper

·         Verify insurance using inhouse and/or third-party software

·         Work with internal staff to assist with verification of insurance, collection of balances, and self-pay fees

·         Assure coding is compliant and up to date

·         Assists with the monthly patient statement process, to include reviewing statements before mailing and field any inbound and/or outbound patient inquiries

·         Assure that front end and back-end rejections are resolved

·         Maintains strict confidentiality; adheres to all HIPAA guidelines/regulations

Insurance Collections

·         Utilizes strong communication and customer service skills

·         Consistently practices good judgment and problem-solving skills

·         Follow up on denied and/or no response claims from payers

·         Issues adjusted, corrected, and/or rebilled claims to payers

·         Initiate appeals to payers following the payer guidelines

·         Verify insurance using inhouse and/or third-party software

·         Work with internal staff to assist with verification of insurance, collection of balances, and self-pay fees

·         Assure coding is compliant and up to date

·         Reviews accounts and makes recommendations regarding uncollectable accounts

·         Assists with the monthly patient statement process, to include reviewing statements before mailing and field any inbound and/or outbound patient inquiries

·         Assure that front end and back-end rejections are resolved

·         Maintains strict confidentiality; adheres to all HIPAA guidelines/regulations