Position Summary

The Biller is responsible for completing claim information, following up on reimbursement for office visits, checking insurance benefits, and ensuring patients are up to date with payments. This individual will serve as a key point person between practice staff, patients, and insurance companies. This position is ideal for a self-starter with a strong professional background who is willing to support a growing team.

Essential Duties and Responsibilities

• Claims creation and submission through applicable practice software
• Pre-submission reviews of authorizations and medical invoices ensuring correct codes, documentation, and necessary information are being provided to carriers
• Provides input on system edits, processes, policies, and billing procedures to ensure maximization of revenues
• Actively monitors documentation for errors and edits rejected claims for resubmission

• Runs daily and weekly reports for billing control purposes
• Ensures credibility of payments by validating accounts
• Follows up with payments to monitor and solve any discrepancies
• Resolves any client billing concerns and questions
• Prepares timely and accurate client invoices

• Processes voids and rebills for invoices as needed
• Ensures that work complies with operational policies and procedures, and regulatory requirements
• Participates in workgroups and meetings as well as attends all required training modules
• Reviews reports to identify revenue opportunities and unpaid claims
• Clears all emails and voicemails by EOD

• Associates Degree
• 3 years' experience in medical billing is strongly preferred
• Experience using a practice management system and EHR (Electronic Health Record)

• Thorough understanding of CPT, ICD-10 and HCPCS coding
• Knowledge of commercial insurance plans and Medicare
• Ability to track assigned insurance claims
• Experience using daily denials management tools and reports