Job Overview:
The Medical Biller is responsible for ensuring the timely and accurate billing of medical services provided by the hospital to patients and third-party payers. The role involves reviewing patient medical records and compiling accurate billing information to ensure proper reimbursement. The Medical Biller must be knowledgeable in Medicare and Medicaid rules and policies and able to navigate through complex medical billing processes.
Key Responsibilities:
- Prepare and submit insurance claims to Medicare, Medicaid, and other third-party payers.
- Follow up with insurance companies to ensure timely reimbursement of claims.
- Review denials and appeals and work with the appropriate departments to resolve outstanding issues.
- Resolve payor specific validations in billing software prior to claim submission.
- Maintain up-to-date knowledge of Medicare and Medicaid regulations and policies.
- Collaborate with other departments such as patient registration, medical coding, and accounts receivable to ensure smooth billing operations.
- Respond to patient billing inquiries and provide assistance in understanding insurance policies and billing procedures.
- Maintain accurate billing records and ensure compliance with all applicable laws and regulations.
Qualifications:
- High school diploma or equivalent required; associate or bachelor's degree preferred.
- Minimum of 3 years of experience in Hospital Medical Billing
- Thorough understanding of Medicare and Medicaid and third-party regulations and policies
- Excellent attention to detail and strong organizational skills
- Effective communication and interpersonal skills
- Proficiency in Microsoft Office and billing software applications
- Strong problem-solving skills and ability to prioritize tasks and meet deadlines.
- Knowledge of medical terminology and coding systems (ICD-10, CPT) is preferred.
- eCare experience preferred.
Physical Requirements: The Hospital Medical Biller job may require sitting for long periods of time, standing, walking, and bending. The job may also require the use of a computer and phone for extended periods and lift 15 pounds at a time.
Job Type: Full-time
Pay: $20.00 - $24.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Education:
- High school or equivalent (Preferred)
Experience:
- clerical support: 2 years (Preferred)
Work Location: Remote
