Department: Business Office
Hours: Monday – Friday 8:00 a.m. – 4:00 p.m.
Job Summary:
The Medical Biller contributes to the department with the implementation and maintenance of an effective system for billing all insurance claims for our patients, as well as collecting third-party balances due on accounts. Works closely with other team members to effectively gather and process billing and collection information. Works directly with the other team members to ensure accurate and timely billing of problem accounts.
Primary Responsibilities:
- Bills patient account in a timely manner utilizing the claims system to insure all third-party payers are responsible for accounts that have been billed.
- Identifies any billing problems which cause delays and communicates these issues to the department head.
- Resolve problem accounts independently using sound judgment and following established policies and procedures.
- Organizes workload to meet deadlines by processing claims in an accurate and timely manner, meeting established productivity goals.
- Stays abreast of regulatory changes affecting billing. Maintains current knowledge of State Insurance Commission Regulations and Managed Care payment requirements.
- Responsible for contacting insurance claims’ paying departments to ask for payment on outstanding third-party balances in a professional manner.
