Medical Biller

Description

Medical Billers have oversight of the billing department and are responsible for ensuring that documentation is prepared appropriately. Applicants must have excellent computer skills and strong attention-to-detail as monthly reports will be required. We are looking for a strong candidate who understands ICD-10, CPT, HCPC coding, and has a firm knowledge of NCCI edits and the Appeals process.

Responsibilities

Job responsibilities include, but are not limited to, the following:

• Researching the physician's charge information needed to complete billing process
• Coding information about procedures performed and diagnosis on charge
• Keying charge information into online entry program and producing billing
• Processing and distributing copies of billings according to office policies
• Establishing and recommending credit and collection policies
• Participating with other staff to follow up on accounts until no balance or turned over for collection
• Assisting with coding and error resolution, making adjustments to accounts as needed
• Assisting in the processing of insurance claims, including MediCal/MediCare
• Preparing disability claims in a timely manner

Experience

• One year billing experience in a healthcare organization preferred
• Experience with Workers' Comp, Medicare, MediCal, HMO, PPO, EPO, Tricare, BC/BS