Medical Biller

Medical Biller (Healthcare)

• Review and enter patient demographic, insurance, procedure, diagnosis, and charge data accurately into the billing system.
• Validate coding accuracy using ICD-10, CPT, and HCPCS guidelines.
• Prepare and submit clean claims to Medicare, Medicaid, and commercial insurance carriers.
• Monitor claim status through payer portals and clearinghouses.
• Identify, research, and resolve claim denials, rejections, and underpayments.
• Prepare and submit claim corrections and appeals within payer deadlines.
• Post insurance payments, patient payments, contractual adjustments, refunds, and write-offs.
• Generate patient statements and respond to billing inquiries professionally.
• Establish and manage payment plans for self‑pay and delinquent accounts.
• Verify insurance eligibility, benefits, and authorizations as needed.
• Maintain accurate documentation of billing activity and correspondence.
• Ensure compliance with HIPAA, payer contracts, and internal policies.
• Collaborate with providers, coding staff, and front‑office personnel to resolve documentation or billing discrepancies.