Medical Biller

The medical biller position responsibilities are to submit accurate and timely claim billing and reports based on health plan, payor, or contract requirements. This also involves accounts receivable payment follow-up, appeals, and refunds if necessary.
Essential Functions:

• Complete health plan billings based on requirements.
• Compile proper paperwork and conduct appropriate research to appeal claim denials, including requests for refunds/credits when applicable.
• Review and monitor reimbursements due from different payors to determine appropriate collection methods.
• Communicate effectively and professionally with external customers.
• Resolve payment issues with carriers, (e.g. denials, partial payments, etc.)
• Review, modify, and re-bill rejected/denied claims.
• Assist Cash department on payor backup as needed for payments received.
• Adhere to and comply with information ...