The medical biller position responsibilities are to submit accurate and timely claim billing and reports based on health plan, payor, or contract requirements. This also involves accounts receivable payment follow-up, appeals, and refunds if necessary.
Essential Functions:

• Complete health plan billings based on requirements.
• Compile proper paperwork and conduct appropriate research to appeal claim denials, including requests for refunds/credits when applicable.
• Review and monitor reimbursements due from different payors to determine appropriate collection methods.
• Communicate effectively and professionally with external customers.
• Resolve payment issues with carriers, (e.g. denials, partial payments, etc.)
• Review, modify, and re-bill rejected/denied claims.
• Assist Cash department on payor backup as needed for payments received.
• Adhere to and comply with information ...