Medical Biller
Ataraxis
About the role
Key Responsibilities
Medical Claims Processing: Prepare, review, and submit accurate medical claims to insurance companies and other payers.
Insurance Verification: Verify patients’ insurance coverage, eligibility, and benefits as needed.
Payment Posting: Record and reconcile payments received from insurance companies and patients.
Claims Follow-Up: Track submitted claims, investigate unpaid or denied claims, and follow up with insurance providers to resolve outstanding balances.
Denial Management: Identify reasons for claim denials, correct errors, and submit appeals or resubmissions when appropriate.
Accounts Receivable: Monitor outstanding balances and follow up on overdue payments to support timely collections.
Patient Billing: Prepare patient invoices, explain billing statements, and assist with questions regarding balances and payments.
Documentation and Compliance: Maintain accurate billing records and handle confidential patient information in accordance with HIPAA and other applicable regulations.
Coordination: Communicate with healthcare providers, insurance representatives, and administrative staff to resolve billing discrepancies.
Reporting: Maintain billing records and generate reports on claims, collections, denials, and outstanding accounts.
Qualifications
- Previous experience in medical billing, healthcare administration, or revenue cycle management.
- Familiarity with U.S. healthcare insurance, including commercial insurance, Medicare, and Medicaid, as applicable.
- Knowledge of medical terminology, CPT codes, ICD-10 codes, and HCPCS codes.
- Experience using electronic health records (EHR), practice management systems, and medical billing software.
- Strong attention to detail, organizational skills, and problem-solving abilities.
- Good written and verbal communication skills.
- Ability to manage multiple claims and meet deadlines while maintaining accuracy.
- Understanding of patient confidentiality and healthcare billing compliance requirements.
Qualifications
- Experience working with U.S.-based healthcare providers or medical practices.
- Familiarity with insurance portals, electronic claim submission, and clearinghouse systems.