Biller

Responsibilities and Duties:Serves as primary biller for the business, and billing liaison to Revenue Cycle Manager.Performs all primary tasks related to billing, including submission of claims, statement invoicing of clients, payment collections, and payment posting.Ensures charges are finalized in KIPU in timely manner to push into CollabMD.Submits claims in a timely manner via CollabMD to the clearinghouse.Follows up on any rejected claims, corrects issues and resubmits.Follows up and researches claim denials.Supports admin department with confirming insurance eligibility and verifications of benefits as needed.Submits all Recovery Works claims via WITTS system.Ensures all insurance ERA's are posted promptly and correctly when received.Follows up and/or disputes possible recoupments.Enters data into various electronic systems while maintaining the integrity and accuracy of the data.Fields calls from insurance payors regarding receipt of claims and payment statuses.Answers client questions on patient responsibility portions, copays, deductibles, write-offs, etc.Resolves client complaints regarding insurance payments and coverage.Maintains and track clients deductibles, coinsurance, and copay amounts.Assists with preparing appeal letters to insurance payors when not in agreement with claim denials.Follows HIPAA guidelines in handling protected patient information.Prepare summary reports for leadership on a regular basis.Other administrative duties as assigned. **Not an exhaustive list; responsibilities subject to change based upon the needs of the business and team.
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