Enrollment & Billing Representative is responsible for the accurate enrollment and billing process for an insurance organization. Maintains related documents, updates corresponding records and responsible for enrollment and billing query. Being an Enrollment & Billing Representative requires a high school diploma or its equivalent. Typically reports to a supervisor or manager. The Enrollment & Billing Representative possesses a moderate understanding of general aspects of the job. Works under the close direction of senior personnel in the functional area. May require 0-1 year of general work experience. (Copyright 2024 Salary.com)
Job Overview:
We are seeking a skilled and detail-oriented Medical Biller to join our team. As a Medical Biller, you will be responsible for accurately coding and billing medical procedures, ensuring timely reimbursement from insurance companies, and maintaining patient records. If you have a strong understanding of medical billing systems, coding practices, and excellent attention to detail, we encourage you to apply.
Duties:
- Review and analyze medical documentation to assign appropriate codes using ICD-10, ICD-9, and other coding systems
- Ensure accurate and timely submission of claims to insurance companies
- Follow up on unpaid claims and denials, identifying and resolving any issues or discrepancies
- Communicate with insurance companies, patients, and healthcare providers to resolve billing inquiries or disputes
- Maintain patient records, including demographic information, insurance details, and billing history
- Process payments from insurance companies and patients, applying them to the appropriate accounts
- Prepare and submit appeals for denied claims as necessary
- Stay up-to-date with changes in coding regulations and insurance requirements
Qualifications:
- 5 years Previous experience in medical billing or a related field
- Strong knowledge of medical terminology, coding practices (DRG), and billing systems
- Proficiency in using electronic medical record (EMR) systems and medical billing software preferably EClinical Works
- Excellent attention to detail and accuracy in coding procedures
- Strong analytical and problem-solving skills
- Effective communication skills to interact with insurance companies, patients, and healthcare providers
Job Types: Full-time, Part-time
Pay: $17.50 - $19.00 per hour
Expected hours: 40 per week
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Work Location: In person
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