Responsibilities
- Update patient’s medical records in the billing platform
- Prepare and submit billing data and medical claims to insurance companies, Medicare, Medicaid, and third-party payers
- Verify and ensure the accuracy of patient information, procedure codes, and diagnosis codes
- Review supporting medical documentation before claim submission to ensure correctness, completeness, and compliance with payer requirements
- Resolve claim discrepancies, correct coding errors, and resubmit denied or rejected claims promptly
- Communicate with patients regarding billing inquiries, outstanding balances, and available payment plans.
- Post payments from insurance companies and patients to the appropriate accounts
- Reconcile patient accounts, issue refunds as necessary, and ensure accurate financial reporting.
- Follow up on unpaid claims and accounts to minimize aging accounts receivable.
- Assist lead or supervisor in orienting, training, and mentoring staff.
- Handle special projects as requested.
Medical Biller Qualifications/Skills
- University/college degree
- Excellent written and spoken communication skills
- At least 1 to 2 years experience in Medical Billing, preferably in an emergency room or urgent care setting
- Experience in popular EMRs and medical coding/billing platforms is an asset.
- Strong understanding of CPT, ICD-10, HCPCS coding, and insurance guidelines
- Certified Professional Biller (CPB) or Certified Professional Coder (CPC) is a plus