Biller Medical

The ideal candidate has strong knowledge of medical billing procedures, insurance requirements, claim processing, and denial management, along with excellent attention to detail and organizational skills.

Key Responsibilities

• Prepare, review, and submit accurate medical claims to commercial insurance carriers, Medicare, Medicaid, and other third-party payers.
• Verify patient insurance eligibility, benefits, coverage, and authorization requirements.
• Review claims for completeness and accuracy prior to submission.
• Monitor outstanding claims and follow up with insurance carriers on unpaid, underpaid, rejected, or denied claims.
• Research and resolve claim denials, billing discrepancies, and reimbursement issues in a timely manner.
• Post insurance and patient payments, adjustments, and contractual allowances accurately.
• Reconcile patient accounts and ensure payments are applied to the appropriate charges.
• Review Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERAs) for payment accuracy and denial reasons.

Family Practice Primary Care Physician's office.