Medical Biller  

The main responsibility is to collect unpaid claims from private insurances, Medicaid, Medicare, IPA's and patients. This can be obtained thru:

• Analyze the responses (EOBs, COBs) from payers.
• Assess the unpaid claims to make adjustments as necessary as well as make appropriate notes of actions and changes.
• Review the payer’s contracts to clarify claim payment qualification.
• Call insurances to check claim status or follow up on unpaid claims.
• Find out the reason the claims were not reimbursed.
• Research for possible solutions to fix claims in order to be paid.
• Retrieve all the necessary documents to support the payment requirements.
• Prepare necessary forms to appeal or dispute the denial of claims.
• Resubmit corrected claims through the method of electronic or paper submission.
• Advise clients of appropriate codes to be used to ensure reimbursement.

• Bachelor's Degree; a healthcare-related course is preferred but not a required.
• Experience in medical billing/collection in US Healthcare industry is required; however, we may consider individual with strong English communication skills (written and oral) and the ability to adapt and learn medical terminology within a specific time frame.
• Must have strong call handling, writing and reading skills.
• Knowledge of CPT, HCPCS, ICD 9 and 10 (including a basic understanding of Medical Terminology) is an advantage.
• Minimum typing speed of 45 wpm.
• Proficiency in a range of computer software applications (such as MS Word and Excel).
• Good analytical skills.
• Excellent organization and time management skills.
• Able to work independently with minimal supervision and can handle a number of projects simultaneously.
• Flexibility to work additional hours as necessary.