Medical Biller
Office/Professional
Oklahoma CityOklahoma
Direct Hire
Feb 28, 2025

A Medical Biller is responsible for managing patient billing details, ensuring the accurate and timely submission of claims to insurance companies, and securing reimbursements for healthcare services. This role plays a vital part in verifying patient insurance coverage, coding medical procedures, and addressing patient inquiries regarding billing.

Key Responsibilities:

  • Patient Data Management:

    • Confirm patient insurance eligibility and coverage.
    • Collect and maintain precise patient demographics and billing information.
  • Claims Submission:

    • Submit insurance claims electronically or on paper to third-party payers, including Medicare, Medicaid, and private insurers.
    • Verify claims are complete, accurate, and free of errors before submission.
  • Insurance Follow-up:

    • Track the status of claims, and follow up with insurers regarding rejected or denied claims.
    • Collaborate with insurance representatives to resolve discrepancies or payment issues.
  • Patient Billing and Inquiries:

    • Generate and send patient statements for out-of-pocket expenses (e.g., co-pays, deductibles, or non-covered services).
    • Address patient inquiries about billing, payment options, and insurance coverage.
  • Payment Posting:

    • Post insurance and patient payments into the system, ensuring accuracy and up-to-date accounts.
    • Handle adjustments, payment rejections, and refunds.
  • Compliance and Documentation:

    • Ensure patient confidentiality and adherence to HIPAA regulations.
    • Stay informed on changes in medical billing procedures, software, and healthcare regulations.
  • Reports and Reconciliation:

    • Prepare management reports regarding claim status, unpaid claims, and revenue cycle performance.
    • Reconcile account discrepancies and ensure all payments are processed correctly.

Skills and Qualifications:

  • Education: Postsecondary education or certification in medical billing or coding preferred.
  • Certifications: Certified Professional Biller (CPB) certification is an advantage.
  • Technical Skills: Proficiency in medical billing software (e.g., Epic, Cerner, 3M), MS Office Suite, and EHR systems.
  • Knowledge: Familiarity with medical terminology, ICD-10, CPT, and HCPCS coding systems. Strong understanding of insurance policies and claim submission processes.
  • Communication Skills: Strong written and verbal communication skills for interacting with patients, healthcare providers, and insurance representatives.
  • Attention to Detail: Ability to identify and correct errors or discrepancies in patient data and billing information.
#adm

#ind123