Medical Biller Job Description
Medical biller
provides customer service to the affiliated dental and medical practices of PDS, through the call center, as well as email.
Medical Biller Duties & Responsibilities
To write an effective medical biller job description, begin by listing detailed duties, responsibilities and expectations. We have included medical biller job description templates that you can modify and use.
Sample responsibilities for this position include:
Assisting with Medicaid Coordination and Billing
Create Microsoft Excel reports
Ensure that CPT code along with ICD-10 code is mentioned on each insurance claim
Data entry and creation of Microsoft Excel reports
Verify Medicaid eligibility
Research, correct and update computer files on registration, insurance, and Medicaid data
Staying up-to-date on ICD 10 and changes in the industry
Performing substantial filing
Assisting with the creation and distribution of Agency print and electronic publications
Preparing, composing and distributing correspondence
Medical Biller Qualifications
Qualifications for a job description may include education, certification, and experience.
Licensing or Certifications for Medical Biller
List any licenses or certifications required by the position: BLS, NHA, CPT, ICD
Education for Medical Biller
Typically a job would require a certain level of education.
Employers hiring for the medical biller job most commonly would prefer for their future employee to have a relevant degree such as Associate and Bachelor's Degree in Education, Technical, Associates, Accounting, Medical, Business, Business/Administration, Health Care Administration, Business and Accounting, Healthcare
Skills for Medical Biller
Desired skills for medical biller include:
Medicare
Medical terminology
HMO/PPO
Insurance guidelines
Medicaid
ICD
Payer requirements and systems
Outlook
Internet Explorer
Microsoft Excel
Desired experience for medical biller includes:
Assisting with the coordination of events and meetings
Providing assistance with Agency projects
Maintaining and updating Agency calendars, contacts and lists
Providing coverage on a rotating basis for a busy multi-line phone reception desk
Data entry and maintenance of large Access database
Maintaining inspection and service appointment schedules for Agency Vehicles
Medical Biller Examples
1
Medical Biller Job Description
Job Description Example
Our growing company is hiring for a medical biller. Thank you in advance for taking a look at the list of responsibilities and qualifications. We look forward to reviewing your resume.
Responsibilities for medical biller
- Working effectively with all auditors
- Ensuring excellence and continuous quality improvement in Billings/Accounts Receivable areas
- Special Projects as assigned by Supervisor or other senior administrators
- Administering claims filing using company's EMR software
- Researching and handling all rejections, including understanding why a claim rejected, how to fix, and determining liability
- Initiating corrective actions including referral to the supervisor when appropriate
- Processing adjustments for denials, contractual EOB, and credit balances
- Generating patient invoices
- Sending electronic file for claims and printing claims on a daily basis
- Effectively communicate with customers and insurers to assure accurate billing
Qualifications for medical biller
- Billing and posting for end-of-month and year closings
- Assisting with special projects and general administrative duties
- Assist in the reporting of third party or client practice denial/edit patterns, provider/member enrollment issues, other process inconsistencies and suggest corrections
- Clearing breast surgery, mammography and MRI schedules
- Ensuring all insurance is active and authorizations are obtained
- Registering patients when needed
2
Medical Biller Job Description
Job Description Example
Our company is hiring for a medical biller. To join our growing team, please review the list of responsibilities and qualifications.
Responsibilities for medical biller
- Review Physician's notes
- Ensure that current codes are used
- Amend notes when necessary
- Sign and submit Super-Bill documents
- Working in patient and hospital billing
- Entering charges
- Following up with patients and insurance companies
- Pick up and deliver reports, forms, computer runs, services
- Duplicate x-rays for insurance companies and attorneys
- File each item in the appropriate file by either alpha or numerical order, per departmental procedures
Qualifications for medical biller
- Ability to read and understand EOBs from various insurances the advice code
- Initiate form completion by patients, family members, miscellaneous duties, as directed by the venders, other staff
- Greet patients and/or visitors and/or
- Insure appropriate persons complete and/or receive proper forms, questionnaires
- Answer questions, schedule or change appointment, or direct call to appropriate party
- Complete all billing received daily
3
Medical Biller Job Description
Job Description Example
Our company is growing rapidly and is looking for a medical biller. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for medical biller
- Resolve patient complaints and discrepancies
- Collect co-payments on the date of service as much as possible
- Complete charge sheets for in-patient procedures
- Prepare timely and accurate billing in volume necessary to meet department goals
- Inform Dental Residents, Attendings and Administrative Director of any changes (immediately) so that patients can be appropriately advised of covered treatment
- Adjust to third party billing requirements
- Coordinate billing staff in all medical billing and collection functions
- Import data into eCW or print daily remittances advises for processing by billing staff posting payments
- Work with front desk staff to ensure accurate insurance information
- Assist patients with billing inquiries
Qualifications for medical biller
- Working knowledge of Dental Terminology and Treatment Plans
- Medical Billing and Coding Certification preferred
- Proficient with computer applications and platforms
- Assist Manager with day to day operation of unit and address issues as the arise
- Update and maintain billing records according to prescribed regulations and procedures
- Promptly evaluate all reimbursements, and resolve any issue that resulted in underpayment
4
Medical Biller Job Description
Job Description Example
Our growing company is hiring for a medical biller. If you are looking for an exciting place to work, please take a look at the list of qualifications below.
Responsibilities for medical biller
- Transmit and process all billable claims
- Review, appeal and attach all necessary documentation on claims to ensure appropriate reimbursements
- Review patient statements for accuracy, completeness and obtain any missing information
- Handle confidential patient information with professional discretion
- Export/process claims via clearinghouse
- Review Electronic Practice Management System and clearinghouse claims rejections
- Import electronic remittance advice (ERA) into Electronic Practice Management System
- Review, modify, document denial reason code, correct and regenerate denied claims
- Review and fix Electronic Practice Management System Discrepancy Reports
- Utilize assigned reports to process denials within 45 day time frame
Qualifications for medical biller
- Utilize reports to monitor and collect outstanding revenues over 45 days of date of service
- Maintain communication with assigned Insurance Provider Representatives on any claim issues that may arise
- Answer all patients or insurance telephone inquiries pertaining to assigned accounts
- Generate insurance and billing reports as directed
- Respond to email in a timely manner
- Report to Patient Accounts Manager on all assignments
5
Medical Biller Job Description
Job Description Example
Our growing company is hiring for a medical biller. Please review the list of responsibilities and qualifications. While this is our ideal list, we will consider candidates that do not necessarily have all of the qualifications, but have sufficient experience and talent.
Responsibilities for medical biller
- Call client for billing
- Perform billing / insurance verification
- Perform billing error report review and correction generation of patient "Occasion of Service" (OOS) file
- Troubleshoot and resolve problems effectively
- Review daily Defect and Denial Reports to ensure that billing is coded correctly
- Utilize computerized patient registration, accounting and billing system
- Enter on-line computers
- Review patient accounts with patient and preparing on-demand statements
- Transfer charges to and from third party insurers making charge adjustments, credits and debits, as necessary
- Distribute MetroCards, as applicable, and maintain records as required
Qualifications for medical biller
- Adjust accounts according to the fee code
- Process credit card transactions and post any monies received from patients
- Data entry of claims into system
- Reviewing and entering all incoming new medical claims into MECA, received in Stop-Loss inbox (Email, mail)
- All Front End operations, other administrative tasks and some medical coding
- Reviewing and interpreting moderate complex plans and policy documents in order to respond to customer requests and or makes entries into systems