Under general supervision of supervisor or manager the Medical Biller/Collector is responsible for timely submission of claims to insurance companies from a wide variety of medical providers and facilities, as well as monitoring and ensuring payments for medical services are received in a timely manner.
Medical Biller/Collector may also function as
an intermediary between healthcare providers, clients, patients and health insurance companies.
Reviews patient bills for accuracy and completeness; obtains missing information.
Knowledge of insurance, especially Medicare and Medicaid, rules and guidelines.
Identify insurance company or proper party (patient) to be billed; identify and bill secondary or tertiary
Perform coding and billing tasks on a computerized health information technology (HIT) system.
Utilize a combination of electronic health record (EHR) and paper patient records to perform billing duties;
maintain an accurate, legally compliant medical record.
Process claims as they are paid and credit accounts accordingly.
Review insurance payments for accuracy and compliance with contract discounts.
Review denials or partially paid claims and work with the involved parties to resolve the discrepancy.
Manage assigned accounts ensuring outstanding/pending claims are paid in a timely manner and contact
appropriate parties to collect payment.
Communicate with health care providers, patients, insurance claim representatives and other parties to clarify billing issues and facilitate timely payment.
Consult supervisor, team members and appropriate resources to solve billing and collection questions and issues.
Maintain work operations and quality by following standards, policies and procedures; escalate compliance issues to supervisor.
Prepare reports and forms as directed and in accordance with established policies.
Perform a variety of administrative duties including but not limited to: answering phones; faxing and filing of
confidential documents; and basic Internet and email utilization.
Provide excellent and professional customer service to internal and external customers.
Function as contributing team member while meeting deadlines and productivity standards.
Education: High school diploma or equivalent.
Successful completion of program in medical billing.
Training and experience: Unless otherwise indicated, one year of current experience within the last three years
in a comparable job classification required.
• Internet, email, MS Office and data entry skills required.
• Educated on and compliant with HIPAA regulations; maintains strict confidentiality of patient and client
Contract to hire position.
Excellent benefits offered after probation period.