Medical Insurance Biller - Full-Time - 1st Shift

Summary

Compile data and prepare invoices, bill appropriate payor and follow up on accounts for timely payment.

Duties and Responsibilities

• Knowledge of insurance, especially Medicare rules and guidelines.


• Utilize a combination of electronic health record and paper patient records to perform billing duties, maintain an accurate, legally compliant medical record.


• Perform data entry of daily transactions.


• Review insurance payments for accuracy and post to appropriate accounts.


• Review denials or partially paid claims and work with the involved to resolve the discrepancy.


• Manage assigned accounts ensuring outstanding/pending claims are paid in a timely manner and contact appropriate parties to collect payment.


• Communicate with health care providers, patients, insurance claim representatives and other parties to clarify billing issues and finalize timely payments.


• Consult supervisor and appropriate resources to solve billing questions and issues.


• Maintain work operations and quality by following standards, policies, and procedures escalating compliance and complaint issues to supervisor.


• Perform a variety of administrative duties including but not limited to: answering phones, faxing, filing of confidential documents, basic internet and email utilization.


• Provide excellent and professional customer service to internal and external customers.


• Function as contributing team member while meeting deadlines and productivity standards.


• Maintain strict confidentiality and adhere to all HIPPA guidelines and regulations.


• Participate in traditional and e-learning programs.