Position Summary

The Biller is r esponsible for completing claim information, following up on reimbursement for office visits, checking insurance benefits, and ensuring patients are up to date with payments.

This individual will serve as a key point person between practice staff, patients, and insurance companies. This position is ideal for a self-starter with a strong professional background who is willing to support a growing team.

Essential Duties and Responsibilities

The essential functions include, but are not limited to, the following :

Claims creation and submission through applicable practice software

Pre-submission reviews of authorizations and medical invoic es ensuring correct codes, documentation, and necessary information are being provided to carriers

Provides input on system edits, processes, policies, and billing procedures to ensure maximization of revenues

Actively monitors documentation for errors and edits rejected claims for resubmission

Runs daily and weekly reports for billing control purposes

Ensures credibility of payments by validating accounts

Follows up with payments to monitor and solve any discrepancies

Prepares timely and accurate client invoices

Processes voids and rebills for invoices as needed

Ensures that work complies with operational policies and procedures, and regulatory requirements

Participates in workgroups and meetings as well as attends all required training modules

Reviews reports to identify revenue opportunities and unpaid claims

Clears all emails and voicemails by EOD

Minimum Qualifications (Knowledge, Skills , and Abilities)

Associates Degree

3 years' experience in medical billing is strongly preferred

Experience using a practice management system and EHR (Electronic Health Record)

Thorough understanding of CPT, ICD-10 and HCPCS coding

Kn owledge of commercial insurance plans and Medicare

Ability to track assigned insurance claims

Experience using daily denials management tools and reports

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Position Summary

The Biller is r esponsible for completing claim information, following up on reimbursement for office visits, checking insurance benefits, and ensuring patients are up to date with payments.

This individual will serve as a key point person between practice staff, patients, and insurance companies. This position is ideal for a self-starter with a strong professional background who is willing to support a growing team.

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