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The Medical Biller is responsible for preparing, submitting, and following up on medical claims to insurance companies, government payers, and patients to ensure accurate and timely reimbursement. Based on general knowledge.
Job Responsibility
Review patient records and billing information for accuracy and completeness
Prepare and submit medical claims to insurance carriers and other payers
Verify coding, charges, and supporting documentation before claim submission
Follow up on unpaid, denied, or rejected claims and resolve billing issues
Post payments, adjustments, and insurance remittances accurately
Communicate with insurance companies, patients, and internal staff regarding billing questions and account status
Maintain patient billing records and ensure compliance with privacy and billing regulations
Assist with account reconciliation, collections, and reporting as needed
Requirements
High school diploma or equivalent required
additional training or certification in medical billing or coding preferred
Previous experience in medical billing, claims processing, or revenue cycle support preferred
Knowledge of medical terminology, insurance claims, CPT/ICD coding, and billing procedures preferred
Strong attention to detail, accuracy, and organizational skills
Proficiency in electronic health records, billing systems, and Microsoft Office
Strong communication and problem-solving skills
Nice to have
Experience with denial management, claims follow-up, and payment posting
Familiarity with Medicare, Medicaid, and commercial insurance billing
Ability to manage multiple accounts and meet productivity deadlines