
Healthcare Medical Claims Processor
12 hours ago
The role of a Medical Biller involves accurate and timely posting of medical charges, payments, and journal entries to patient accounts.
Key Responsibilities:- Process claims with insurance companies, healthcare providers, and patients.
- Verify correct insurance filing information and notify clients of potential coding issues.
- Prepare, review, and transmit claims using billing software.
- Follow up on unpaid claims within the standard billing cycle time frame.
- Research and appeal denied claims.
Additional duties include performing eligibility verification and precertification through web or verbal communication with insurance companies, calling insurance companies to obtain claim status, reading superbills, and making charge entry in the Practice Management System (PMS).
Required Skills and Qualifications:- Strong knowledge of billing software and electronic remittance advice (ERA) processing.
- Ability to work directly with patients, insurance companies, and healthcare providers.
- Excellent organizational and time management skills.
- Attention to detail and ability to maintain accuracy.
- Credentialing and denial management knowledge is an added advantage.
As a Medical Biller, you will have the opportunity to work in a dynamic environment and develop your skills in medical billing and coding.
Others:Handling protected health information in accordance with HIPAA guidelines is essential for this role.
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