Biller

The Biller is responsible for managing the billing process from claim creation through reimbursement. This includes submitting claims to insurance companies, resolving denials, posting payments, and ensuring accurate and timely revenue collection.

• Review progress notes and identify accurate CPT and ICD-10 codes.
• Link CPT code to appropriate ICD-10 code.
• Print inpatient hospital consultations and apply correct codes.
• Review inpatient and outpatient operative reports and apply correct codes.
• Contact insurance companies regarding unpaid claims
• Posts checks, credit cards, and electronically transferred funds to customers’ accounts timely for primary, secondary, and tertiary balances with a high degree of accuracy in a high-volume, time-sensitive work environment.
• Post Insurance Explanations of Benefits (EOBs) day-to-day, and balancing posted EOBs
• Ensures insurance payments, allowances, adjustment, denial, and rejections are posted correctly
• Identifies any payments not being paid at the allowed/contracted amount and contacts insurance carrier to dispute.
• Posting patient and insurance payments to patient accounts Follow internal payer protocols and posting guidelines relating to payer fee schedules
• Meet monthly post goals and closing deadlines
• Participate in proactive team efforts to achieve departmental and company goals
• Generate/review/send patient statements, addresses patient calls related to statement balances
• Identify accounts that have been overpaid and initiate refund requests to patients and/or insurance as appropriate
• Perform other duties as needed

• Critical thinking
• Exceptional written and verbal communication skills
• Multi-tasking, excellent time management, highly organized
• Attention to detail and accuracy and problem resolution
• Works well in a fast-paced environment
• Ability to use sound independent judgment
• Motivated and extremely positive attitude

• High school diploma
• Must be a Certified Professional Coder
• Podiatry experience a plus
• 3+ years of medical billing/payment posting/ accounts receivable experience
• Proficient in Microsoft Office
• Motivated and extremely positive attitude
• Experience working with Electronic Response Admittance's (ERAs) and Explanation of Benefits (EOBS)
• Knowledge of HIPAA compliance rules and regulations