
Remote Medical Biller
24 hours ago
A medical biller is responsible for ensuring accurate and timely processing of patient claims. To excel in this role, one should possess a strong understanding of healthcare insurance guidelines and medical billing best practices.
Responsibilities- Claim Processing: Accurately post medical charges, payments, and journal entries to patient accounts.
- Insurance Interactions: Work directly with insurance companies, healthcare providers, and patients to efficiently process and manage claims.
- Eligibility Verification: Verify insurance eligibility and benefits, along with patient registration data.
- Claims Submission: Prepare and transmit claims using the Athena billing software.
- Follow-up and Resolution: Proactively follow up on unpaid claims and research denied claims to ensure maximum reimbursement.
- Appeals Management: Expertly appeal denied claims, navigating complex insurance guidelines.
- Compliance: Maintain strict compliance with all HIPAA regulations and industry standards.
- Claim Status Updates: Perform eligibility verification and obtain accurate claim statuses from various insurance payers.
- Billing Accuracy: Review patient bills and read superbills for precise charge entries.
- Electronic Remittance Advice (ERA) and Explanation of Benefits (EOB): Post ERA and EOB from diverse systems.
- Medical Billing Experience: Proven experience as a Medical Biller, specifically with extensive hands-on experience using the Athena billing software/EMR.
- US Healthcare Insurance Knowledge: Solid understanding of US healthcare insurance guidelines and medical billing best practices.
- Eligibility and Benefit Verification: Demonstrated ability to perform eligibility and benefit verification.
- Payer Portal Navigation: Proficiency in obtaining claim statuses and navigating payer portals.
- Charge Entry and Posting: Experience with charge entry from superbills and posting ERA/EOB.
- HIPAA Compliance: Strong commitment to maintaining HIPAA compliance.
- Attention to Detail: Excellent attention to detail and organizational skills.
- Communication Skills: Effective communication skills, both written and verbal.
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