Medical Biller

We are looking for a highly organized and detail-oriented Medical Biller to join our team. The successful candidate will be responsible for managing the billing process for healthcare providers, ensuring accurate and timely submission of claims, and working closely with insurance companies and patients to resolve any billing issues. This is an excellent opportunity for someone with experience in medical billing who is looking to further their career in a dynamic and supportive environment.

Key Responsibilities:

• Prepare and submit billing data and medical claims to insurance companies.
  
• Ensure the patient’s medical information is accurate and up to date.
  
• Prepare bills and invoices, and document amounts due for medical procedures and services.
  
• Collect and review referrals and pre-authorizations.
  
• Monitor and record late payments.
  
• Follow-up with insurances on missed payments and resolve financial discrepancies.
  
• Resolve Denials and Rejections on the claims
  
• Examine patient bills for accuracy and request any missing information.
  
• Investigate and appeal denied claims.
  
• Help patients develop patient payment plans.
  
• Maintain billing software by updating reports
  
• Perform Medicare/Medi-Caid reviews and audits.
  
• Implement, maintain and report on programs initiated by the practice.
  

• Must be a Spanish Speaker
  
• Bachelor’s degree in Business, Health Care Administration, Accounting or relevant field.
  
• A minimum of 1 to 2 years’ experience as a Medical Biller or similar role.
  
• Solid understanding of billing software and electronic medical records.
  
• Must be able to multitask and manage time effectively.
  
• Excellent written and verbal communication skills.
  
• Outstanding problem-solving and organizational abilities.
  

• Spanish Speaker
  
• Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
  
• Competent use of computer systems, EHR/EMR
  
• Familiarity with CPT and ICD-10 Coding.
  
• Knowledge of accounting and bookkeeping procedures.
  
• Knowledge of medical terminology likely to be encountered in medical claims.
  
• Good Communication.
  
• Problem solving.
  
• Critical thinker.
  
• Detail oriented.
  
• Team player.
  
• Ability to Multitask.
  

Originally posted on Himalayas