Medical​/Chiropractic Biller

medical billing professional who handles the insurance and payment process for a chiropractic office. Their main job is to make sure the clinic gets paid correctly for services provided to patients.

• Manage Apex (reconcile EOB’s, check and work payer rejected report)
• Reconcile mail payments
• Reconcile Zelis direct deposits
• Manage insurance credentialing
• Patient Accounts Receivable Report - check line by line - monthly
• Insurance Receivable Report - check line by line - monthly
• Research and reconcile take backs
• Add patient’s insurances into system
• Reply to emails
• Research insurance denials and re-bill
• Calculate and submit payroll and bonus for processing
• VA Authorizations
• Quality Review of patient accounts/Soap notes
• Manage auto billing and attorney correspondence
• Mail out patient statements monthly
• Print and mail auto claims weekly
• Resolve patient billing concerns
• Manage insurance Logins spreadsheet
• Back up insurance verification

Detail oriented, reliable and likes structure.

Communicate professionally with the physicians, patients and others both in person and through phone, email.

• Insurance billing:
  Submit claims to insurance companies for chiropractic treatments (adjustments, therapy, exams, X-rays, etc.).
• Medical coding:
  Use proper billing codes (CPT, ICD-10, HCPCS) to describe diagnoses and treatments.
• Verify patient insurance:
  Check coverage, benefits, deductibles, and pre-authorization requirements.
• Process payments:
  Post insurance payments and patient payments to accounts.
• Handle claim denials or rejections:
  Fix errors, resubmit claims, and follow up with insurance companies.
• Patient billing:
  Send statements and explain charges or balances to patients.
• Maintain records and compliance:
  Ensure billing follows healthcare laws and insurance rules.