ProfessionalMedicalChargeCoordinator

Epic Medical Biller Role Overview

As an expert medical biller, you will be responsible for accurately posting medical charges, payments, and journal entries to patient accounts. You will work directly with insurance companies, healthcare providers, and patients to efficiently process and manage claims. Your primary focus will be on ensuring that all claims are submitted correctly and in a timely manner, and that any issues or discrepancies are resolved promptly.

Key Responsibilities:

• Audit and post medical charges, payments, and journal entries to patient accounts
• Collaborate with insurance companies, healthcare providers, and patients to process and manage claims
• Verify insurance eligibility and benefits, as well as patient registration data
• Prepare and transmit claims using the Athena billing software
• Proactively follow up on unpaid claims and research denied claims to ensure maximum reimbursement
• Expertly appeal denied claims, navigating complex insurance guidelines
• Maintain strict compliance with all HIPAA regulations and industry standards
• Perform eligibility verification and obtain accurate claim statuses from various insurance payers
• Review patient bills and read superbills for precise charge entries
• Post Electronic Remittance Advice (ERA) and Explanation of Benefits (EOB) from diverse systems

Requirements:

• Proven experience as a Medical Biller, specifically with extensive hands-on experience using the Epic billing software/EMR
• Solid understanding of US Healthcare insurance guidelines and medical billing best practices
• Demonstrated ability to perform eligibility and benefit verification
• Proficiency in obtaining claim statuses and navigating payer portals
• Experience with charge entry from superbills and posting ERA/EOB
• Strong commitment to maintaining HIPAA compliance
• Excellent attention to detail and organizational skills
• Effective communication skills, both written and verbal