Job Summary:

The Medical Biller is a key member of the revenue cycle team. The biller participates in the data entry of billing information to ensure accurate and timely billing submissions.

• Review and compare provider office schedules to electronic charge batches.
• Approve charges for claim release
• Report missing charges/documentation to supervisor and/or provider
• Manual charge posting as needed for hospital, SNF, etc.
• Review and/or work edit work files and send to appropriate party for coding review, physician review or supervisor review in a timely manner.
• Update patient demographic and insurance information when needed
• Answer incoming patient, provider and insurance calls
• Review automated eligibility files and run manual eligibility as needed to confirm insurance coverage
• Update patient accounts with collection agency activity
• Provide weekly updates to supervisors on all services and issues
• Must be able to recognize and establish priorities and provide coverage of other areas as necessary
• Must understand and uphold HIPAA regulations
• Must communicate effectively and professionally through written correspondence and personal conversations
• Responsible for all Cryo storage billing