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About the Role
The Medical Biller manages the administrative process of submitting insurance claims to payers on behalf of a healthcare provider. This includes verifying insurance coverage, preparing and submitting bills, following up on unpaid claims, resolving discrepancies, and communicating with patients regarding balances to ensure timely payments.
Responsibilities
- Create and submit electronic or paper claims to insurance companies, including accurate coding of diagnoses and procedures based on medical records.
- Verify patient insurance eligibility and benefits, and obtain pre-authorizations for procedures when necessary.
- Review medical records for completeness and accuracy to ensure proper billing.
- Monitor claim status, contact insurance companies to resolve claim denials or billing issues, and initiate appeals when necessary.
- Explain patient bills, address billing inquiries, and set up payment plans for outstanding balances.
- Maintain patient demographic information and billing records within electronic health records (EHR) systems.
- Adhere to HIPAA regulations and stay updated on healthcare billing guidelines and coding practices.
- Perform other responsibilities and duties as assigned.
Requirements
- Proficient in medical billing software and electronic health records (Awards) systems.
- Strong knowledge of medical coding and medical collection processes.
- Excellent attention to detail with strong organizational skills.
- Ability to communicate effectively with patients and insurance representatives.
Skills
- Medical Billing Software
- Awards
- Excel
- Optum – Medical Network Solutions | Claims Clearinghouse
- Medical coding
- Medical collection processes
- Attention to Detail
- Organizational skills
- HIPAA regulations
Location
- Poughkeepsie, NY 12603
Work Type
- Monday through Friday 9AM to 5PM
- Full-time
Experience Level
- 5 years of medical billing work experience preferred
Education Level
- Associate degree in a related field preferred
Salary/Compensations
- $24.76 per hour
About the Company
- Agency: People USA