MEDICAL BILLER/INSURANCE COLLECTIONS

Medical Biller

· Utilizes strong communication and customer service skills

· Consistently practices good judgment and problem-solving skills

· Prepares and submits clean claims to the insurance either electronically or via paper

· Verify insurance using inhouse and/or third-party software

· Work with internal staff to assist with verification of insurance, collection of balances, and self-pay fees

· Assure coding is compliant and up to date

· Assists with the monthly patient statement process, to include reviewing statements before mailing and field any inbound and/or outbound patient inquiries

· Assure that front end and back-end rejections are resolved

· Maintains strict confidentiality; adheres to all HIPAA guidelines/regulations

Insurance Collections

· Utilizes strong communication and customer service skills

· Consistently practices good judgment and problem-solving skills

· Follow up on denied and/or no response claims from payers

· Issues adjusted, corrected, and/or rebilled claims to payers

· Initiate appeals to payers following the payer guidelines

· Verify insurance using inhouse and/or third-party software

· Work with internal staff to assist with verification of insurance, collection of balances, and self-pay fees

· Assure coding is compliant and up to date

· Reviews accounts and makes recommendations regarding uncollectable accounts

· Assists with the monthly patient statement process, to include reviewing statements before mailing and field any inbound and/or outbound patient inquiries

· Assure that front end and back-end rejections are resolved

· Maintains strict confidentiality; adheres to all HIPAA guidelines/regulations

2901 Coral Hills Drive, Suite 360, Coral Springs, FL 33065