Job Overview :
The medical biller will be responsible for encoding of patient information, validation of insurance coverage and in the initiation of medical claims payment posting.
Hence, medical biller is expected to have proficiency in the use of the billing software and must follow policies on patient confidentiality.
The ideal candidate will be expected to be familiar with medical terminology, ICD 10 and CPT codes, California Medical Insurance regulations for both Medicare and HMO’s.
Responsibilities and Duties :
Completely encode patient demographics into the billing software
Validate and encode insurance coverage of patients
Ensure that payments are made to the correct healthcare provider
Ensure accuracy of work output at all times
Post medical claims information as line items into the system
Ensure accuracy of entries related but not limited to CPT and ICD 10 codes
Monitor individual and group work output by submission of productivity reports
Perform quality audits of entered medical bills
Request and follow-up missing information pertaining to a claim
Keep up to date with coding rules on ICD 10 and CPT
Be familiar with regulations and guidelines set by Medicare, State Programs, HMO and PPO
Maintain patient confidentiality
Provide timely and meaningful reports as required
Any 4-year course, preferably medical, accounting, business administration
Preferably with 1-2 year experience as a medical biller or medical coder or data encoder
Proficient computer skills, high attention to detail
Self- motivated, fast-learner with the right culture-fit
Proficient in Microsoft Office (Word, Excel, Powerpoint, Outlook)