Medical Biller

Job description

Job Description The Medical Biller is responsible for submitting medical claims to government and private payers. Ensures that service date, CPT code, necessary modifiers, patient type (inpatient vs. outpatient, retail vs. wholesale, etc,) contrast injection type and dosage, providing physician, and equipment utilized has been entered correctly into the billing system. Distributes claims into electronic and paper billing queues and transmits patient statements for mailing. Primarily responsible for well-established sites that function as part of a normal workflow. Specific duties include, but are not limited to: Submits medical claims to payers via electronic data interchange (EDI,) paper claims via mail, and enters claims through payer portals. Prepares and transmits patient statements for mailing. Ensures that all necessary information (Insurance plan, CPT code, procedure modifiers, ICD10 codes, etc.) has been entered into the billing system correctly and all necessary compliance paperwork is received for claims submission. Researches and corrects rejected claims for resubmission Reconciles claims submitted with claims accepted by the clearinghouse Other duties as required includ...