Medical Biller/AR Specialist

Job Description

Job Description

Description:

POSITION SUMMARY:

The Medical Biller is responsible for organizing patient medical costs and sending invoices to collect payments from patients and their insurers. Their duties include calling patients to discuss payment and developing reasonable payment plans, entering patient data into administrative systems and recording information about outstanding claims.

DUTIES AND RESPONSIBILITIES:

• Accurately and timely submit medical claims to insurance companies and other payers.
• Verify patient insurance coverage and obtain necessary authorizations for medical procedures.
• Review and analyze medical records to ensure appropriate coding of diagnoses and procedures.
• Resolve billing issues with insurance companies and other payers.
• Follow up on unpaid claims and resubmit claims as necessary.
• Work closely with other departments, such as medical coding and billing, to ensure accurate and timely billing processes.
• Maintain accurate and up-to-date patient and billing records in accordance with regulatory requirements.
• Provide excellent customer service to patients and other stakeholders.
• Keep abreast of changes in medical billing regulations and ensure compliance with these changes.

QUALIFICATIONS AND SKILLS

• High school diploma or equivalent; associate's degree in medical billing or a related field is preferred
• Minimum of 2-3 years of experience in medical billing and coding
• Strong knowledge of medical billing codes and regulations, including ICD-10 and CPT codes
• Familiarity with medical billing software and systems, such as Epic and Meditech
• Excellent analytical and problem-solving skills
• Strong attention to detail and ability to work accurately in a fast-paced environment
• Strong communication and interpersonal skills
• Ability to work independently and as part of a team
• Knowledge of medical terminology and procedures
• Understanding of insurance and reimbursement procedures
• Certification in medical billing and coding is a plus