Medical Billing Job Description
Medical billing
provides excellent customer service and teaching to patients and staff as indicated regarding insurance and coding procedures.
Medical Billing Duties & Responsibilities
To write an effective medical billing job description, begin by listing detailed duties, responsibilities and expectations. We have included medical billing job description templates that you can modify and use.
Sample responsibilities for this position include:
Verify that transactions comply with department’s policies and procedures and all applicable government and insurer regulations
Daily activities revolving around the accurate receipt of all accounts receivable
Analysis and investigation of errors
Maximize cash collection and reduce bad debt expense
Weekly/monthly reporting of billing metrics
Maintains daily queue and account follow up per Best Practices
Acts as a liaison with collection agency, as required per center practices
Notifies BOM of contractual issues that are contrary or inconsistent with contract language
Negotiates and monitors payment plans on accounts utilizing established policies and/or guidelines
Responsible for monitoring and minimizing days in collections contributing to overall accounts receivable days at the established ASD goal
Medical Billing Qualifications
Qualifications for a job description may include education, certification, and experience.
Licensing or Certifications for Medical Billing
List any licenses or certifications required by the position: CPC, CPT, CBC, BLS, CPR, EPIC, RHIT, CANPC, CSC, MT
Education for Medical Billing
Typically a job would require a certain level of education.
Employers hiring for the medical billing job most commonly would prefer for their future employee to have a relevant degree such as Associate and High School Degree in Accounting, Education, Associates, Business, Business/Administration, Medical Billing, Health Care Administration, Business and Accounting, Healthcare, Finance
Skills for Medical Billing
Desired skills for medical billing include:
Medicare
Medical terminology
Medicaid
Insurance guidelines
Insurance industry
Ability to apply relevant current education methodologies and techniques
Academic
Curriculum
Education programs
Teaching methods
Desired experience for medical billing includes:
Responsible for monitoring and minimizing bad debt at the established ASD goal
Insures timely statement processing per Best Practices as required per center practices
Accurately processes payments and maintains security of sensitive data and/or information
Maintains courteous telephone etiquette and returns calls in a timely manner
Updates Accounts Receivable System and clearly documents all interactions and patient and/or insurance contacts
Attends all meetings and participates in committees, as required per center practices
Medical Billing Examples
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Medical Billing Job Description
Job Description Example
Our company is looking to fill the role of medical billing. 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 billing
- Promotes the Medicare Service Center and serves as an ambassador to employees, management and external partners
- Assist in the development of the department's annual budget and may also participate in and/or perform monthly variance analysis to identify reasons for actual vs
- Ensure expenses incurred by the department stay within budgeted dollars while maximizing use of financial resources to aid in the department and organization's goals
- Contacting insurance carriers, patients and other facilities as needed to get maximum payment on accounts and identify issues or changes to achieve client profitability
- Answering patient inquiry calls and correspondence in a professional and courteous manner researching / resolving any issues or concerns patients may have with their accounts
- Check billing voicemail and respond to patient inquiries
- Primary calling level for inbound patient inquiry calls and resolve
- Set up Payment Plans for patients through our Automated deduction system
- Run reports in accordance with the Patient Accounts Collection Schedule
- Make outbound collections calls on past due patient accounts
Qualifications for medical billing
- Upload monthly statements for mailing
- Mail out financial hardship waivers
- Evaluate accounts for collections
- Recognize and communicate new threats to patient collections industry changes, deductible increases as a whole
- Upload monthly collection letters for mailing
- Evaluate financial hardship waivers for approval in accordance with our Financial Hardship Waiver Approval Guidelines
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Medical Billing Job Description
Job Description Example
Our innovative and growing company is looking to fill the role of medical billing. 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 billing
- Post rejections from insurance companies
- Resubmit claims as needed for collection
- Oversee the collection activity of accounts
- Collect payments of co-pays and deductibles from patients
- Detailed Insurance Verification
- Obtaining Documentation for Medical Necessity
- Communication with Physician's offices
- Verification of Claim Receipt
- Posting of Patient/Insurance Payments and Appeals
- Develops and teaches all new hire training classes
Qualifications for medical billing
- Coding and/or billing certificate is a plus but not a requirement
- Assist the Palliative Care staff with billing corrections
- Bachelor's degree required , Accounting preferred or equivalent in education and experience
- 5-8 years' experience supervising medical billing staff
- Electronic Health Record (EHR) and practice management software experience
- Ability to research, analyze data and resolve issues
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Medical Billing Job Description
Job Description Example
Our growing company is looking to fill the role of medical billing. 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 billing
- Trains employees on MSC processes and use of MSC process documentation library
- Maintains all process documentation and administers process documentation library
- Strives to work with management team to identify and assist with process updates and improvements
- Support refund processing
- Ensures that invoices are submitted for services and products that are properly ordered and confirmed as provided
- Under Minimum Supervision
- Review and research health insurance coverage
- Retroactive billing of health insurance companies for newly accounted policies utilizing cost avoidance criteria
- Identify potential TPL coverage
- Research, enter, and write off TPL cash
Qualifications for medical billing
- O-Ability to use problem solving skills to identify, investigate and resolve production issues
- O-Excellent keyboard skills are required
- O-Previous experience with hospital billing systems is preferred
- O-Familiarity with Insurance terminology and language is preferred
- O-Ability to multi-task is a must
- O-Attention to detail and accuracy of work is required
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Medical Billing Job Description
Job Description Example
Our company is looking to fill the role of medical billing. 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 billing
- Contacting insurance carriers to resolve unpaid claims
- At times contacting patients or facilities may be needed to obtain further information
- Identify issues or changes to achieve client profitability
- Responsible for contacting insurance carriers
- This job requires excellent customer service skill
- Ability to handle complex phone calls regarding patient accounts and insurance inquiries
- Healthcare and insurance billing
- Submits charges on patient accounts to correct payer based on the verified insurance information
- Mails infection control survey to surgeons, keeps track of statistics, and informs the Clinical Manager of any reported infections
- Assures that new physicians have transcription number and information
Qualifications for medical billing
- Knowledge of billing practices and clinic policies and procedures
- O-Ability to meet production deadlines and productivity goals in high volume, fast paced environment is required
- O-Must be able to train and become skilled in retrieving documents utilizing imaging equipment
- O-Work independently with minimal supervision and within a team environment
- O-Ability to effectively communicate with employees throughout the PHS network
- O-Willingness to learn additional computer skills
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Medical Billing Job Description
Job Description Example
Our innovative and growing company is hiring for a medical billing. If you are looking for an exciting place to work, please take a look at the list of qualifications below.
Responsibilities for medical billing
- Follow up with insurance companies and ensure claims are paid and processed
- Resubmit insurance claims that have received no response
- Work with patient and other staff to follow up on accounts until the balance in zero
- Correspondence in a professional and courteous manner researching / resolving any issues or concerns patients may have with their accounts
- Processes charge corrections per departmental requests
- Utilizes all resources available to verify eligibility and claim status
- Meets departmental productivity and quality assurance standards
- Complies with all relevant laws, regulations, policies, procedures and standards
- Issue and distribute invoices
- Process new contracts and sales
Qualifications for medical billing
- O-Knowledge of HIPAA Privacy Policies
- Previous bill review experience a plus
- Must type a minimum of 45 WPM (will be tested)
- Experience in medical billing, terminology, and surgical implants a plus
- Ability to function well in a team individual
- ICD-10 required