Medical Billing Assistant

Medical Billing Assistant Job Description

Job Title:

Medical Billing Assistant

Department:

Billing / Revenue Cycle Management

Reports To:

Billing Manager or Practice Administrator

Job Summary

The Medical Billing Assistant supports the billing department by processing medical claims, verifying patient insurance information, posting payments, and assisting with account follow-up. This role helps ensure accurate and timely reimbursement for healthcare services while maintaining compliance with insurance and regulatory requirements.

Key Responsibilities

1. Claims Processing
   Prepare, review, and submit electronic and paper insurance claims accurately and in a timely manner.
   Ensure claims include correct patient demographics, coding, and provider information.
2. Insurance Verification
   Verify patient insurance eligibility and benefits before services are rendered.
   Identify coverage limitations, copays, deductibles, and authorization requirements.
3. Payment Posting
   Post insurance payments, patient payments, and adjustments to patient accounts.
   Reconcile payments with remittance advice and identify discrepancies.
4. Account Follow-Up
   Monitor unpaid or denied claims and follow up with insurance companies as needed.
   Assist patients with billing inquiries and payment arrangements.
5. Data Entry & Record Maintenance
   Maintain accurate billing records in the electronic medical record (EMR) and billing system.
   Update patient account information and documentation as required.
6. Compliance & Quality Assurance
   Follow HIPAA regulations and maintain patient confidentiality.
   Adhere to payer guidelines, billing policies, and office procedures.
7. Administrative Support
   Assist the billing team with reports, correspondence, and other revenue cycle tasks.
   Support month-end billing and collections activities.

Qualifications

Education & Experience

• High school diploma or equivalent required.
• Certificate or coursework in medical billing, coding, healthcare administration, or a related field preferred.
• 1–2 years of experience in medical billing, healthcare administration, or customer service preferred.

Skills & Competencies

• Knowledge of medical billing procedures, insurance claims, and reimbursement processes.
• Familiarity with CPT, ICD-10, and HCPCS codes is a plus.
• Proficiency in EMR/billing software and Microsoft Office applications.
• Strong attention to detail and accuracy.
• Excellent communication and customer service skills.
• Ability to manage multiple tasks and meet deadlines in a fast-paced environment.

Work Environment

• Office or medical practice setting.
• May involve extended periods of sitting and computer work.
• Standard business hours with occasional overtime during busy billing cycles.

Physical Requirements

• Ability to sit for prolonged periods.
• Manual dexterity for typing and operating office equipment.
• Ability to lift up to 15 pounds occasionally.

Equal Employment Opportunity Statement

[Company Name] is an equal opportunity employer and is committed to creating an inclusive workplace for all employees.