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Title

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Medical Biller

Description

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We are looking for a dedicated and detail-oriented Medical Biller to join our healthcare team. The ideal candidate will be responsible for processing and managing patient medical bills, ensuring that all claims are submitted accurately and in a timely manner. This role requires a thorough understanding of medical billing procedures, insurance policies, and healthcare regulations. The Medical Biller will work closely with healthcare providers, insurance companies, and patients to resolve billing issues and ensure that payments are received promptly. The successful candidate will have excellent communication skills, a strong attention to detail, and the ability to work independently as well as part of a team. Key responsibilities include verifying patient insurance coverage, preparing and submitting claims, following up on unpaid claims, and maintaining accurate billing records. The Medical Biller will also be responsible for handling patient inquiries, resolving billing discrepancies, and ensuring compliance with all relevant laws and regulations. This is a critical role in our organization, as accurate and efficient billing is essential to our financial health and our ability to provide high-quality care to our patients. If you have a passion for healthcare and a knack for numbers, we encourage you to apply for this rewarding position.

Responsibilities

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  • Verify patient insurance coverage and eligibility.
  • Prepare and submit accurate medical claims to insurance companies.
  • Follow up on unpaid or denied claims.
  • Resolve billing discrepancies and issues.
  • Maintain accurate and up-to-date billing records.
  • Communicate with healthcare providers, insurance companies, and patients.
  • Handle patient inquiries regarding billing and insurance.
  • Ensure compliance with all relevant laws and regulations.
  • Review and update billing codes and procedures.
  • Assist with the preparation of financial reports.
  • Collaborate with other departments to improve billing processes.
  • Stay current with changes in billing regulations and insurance policies.
  • Provide training and support to other billing staff.
  • Participate in audits and quality assurance activities.
  • Manage patient payment plans and collections.

Requirements

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  • High school diploma or equivalent; associate's degree preferred.
  • Certification in medical billing and coding (e.g., CPC, CPB) is a plus.
  • Minimum of 2 years of experience in medical billing.
  • Strong understanding of medical billing procedures and insurance policies.
  • Excellent communication and interpersonal skills.
  • Strong attention to detail and accuracy.
  • Ability to work independently and as part of a team.
  • Proficiency in medical billing software and electronic health records (EHR) systems.
  • Knowledge of healthcare regulations and compliance requirements.
  • Strong organizational and time management skills.
  • Ability to handle sensitive and confidential information.
  • Problem-solving skills and the ability to resolve billing issues.
  • Customer service experience is a plus.
  • Ability to work in a fast-paced environment.
  • Strong analytical skills and the ability to interpret financial data.

Potential interview questions

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  • Can you describe your experience with medical billing and coding?
  • How do you ensure accuracy when preparing and submitting claims?
  • What steps do you take to resolve billing discrepancies?
  • How do you stay current with changes in billing regulations and insurance policies?
  • Can you provide an example of a time when you successfully resolved a complex billing issue?
  • How do you handle patient inquiries and complaints regarding billing?
  • What software and systems are you proficient in for medical billing?
  • How do you prioritize your tasks in a fast-paced work environment?
  • Can you describe your experience working with insurance companies?
  • How do you ensure compliance with healthcare regulations and laws?