Medical Biller/Collector Job Description Template
Our company is looking for a Medical Biller/Collector to join our team.
Responsibilities:
- Respond to EOB & EOR with supporting documentation;
- Actively follow up on all assigned accounts;
- Timely management of a large volume of claims;
- Submit claim resubmissions to insurance carriers;
- Answers questions from patients, internal customers and insurance companies;
- To support risk and quality management by proactively communicating identified risks to supervisor in order to minimize risk when possible;
- Participates in educational activities and attends monthly staff meetings;
- Identifies and resolves patient billing complaints;
- Determine the appropriateness of appealing denied claims , and take necessary actions to resubmit;
- Analyze and process third party payments/adjustments;
- Prepare and submit clean claims to third party payers, either electronically or on paper; work claim;
- Researches issues involving patient demographics and insurance eligibility;
- Meet or exceed production goals, standards and quality set by RCM Leadership;
- those claims on a timely basis;
- Perform various collection efforts including contacting patients by phone.
Requirements:
- High school diploma or equivalent;
- One year current third party billing/coding experience or equivalent required;
- One year current practice management system and collections experience preferred.