Medical Biller

Job description

Overview The Medical Biller must maintain relationships and be in constant contact with the financial intermediary, Medicare, Medicaid and payors to enable timely research and resolution of problems with patient billing. They work to meet A/R targets and department measures to ensure successful and timely collection of payments and understand the core elements necessary for billing for specialty(ies) he/she bills. Responsibilities: - Review industry transmittals and changes related to the specialties billed. - Monitor reimbursement and regulatory issues with Medicare, Medicaid and other third-party reimbursement. - Ensure compliance with industry standards, HIPAA Privacy, Federal and State regulations. - Processes secondary billing as needed. - Processes physician billing daily. - Processes State Medicaid forms and other information transactions. - Ensures accurate transmission of daily billing and electronic filing. - Utilizes online look-up and processing capabilities to monitor claims and resolve issues to expedite reimbursement. - Generates corrections and re-billing efforts if needed. - Enter write-offs or adjustments as appropriate. - Posts and reconciles all payments and ens...