Medical Billing Representative (225-721)

As a Medical Billing Representative, you play a vital role in the healthcare industry's financial operations, managing patient billing and insurance claims. Your expertise ensures the efficient processing of medical charges and accurately communicates between healthcare providers and insurance companies. You will be responsible for processing insurance claims, verifying patient benefits, and ensuring timely payments, all while maintaining strict confidentiality and adhering to industry standards and regulations. Part of your role involves resolving billing issues and disputes, which requires excellent communication and problem-solving skills. Your contributions ensure that healthcare providers are compensated for their services, contributing to the overall financial health of the organization.

Responsibilities

• Accurately process patient information and billing details into the billing system.
• Verify patient insurance coverage and communicate coverage details effectively.
• Submit insurance claims promptly and follow up on claim status for timely reimbursement.
• Investigate and resolve billing discrepancies and reprocess claims as necessary.
• Review and monitor outstanding accounts providing updated status on payments.
• Communicate with insurance companies to verify coverage details and resolve issues.
• Prepare and send patient invoices detailing charges and payments received.
• Maintain strict confidentiality of patient data in compliance with HIPAA regulations.
• Identify areas for improvement in billing operations to enhance efficiency.
• Provide excellent customer service by addressing patient billing inquiries patiently.
• Collaborate with healthcare providers to ensure accurate billing and coding practices.
• Follow up on unpaid claims and resolve any issues delaying payments.

Requirements

• High school diploma or equivalent; additional certification is a plus.
• Minimum of two years' experience in medical billing or related field.
• Proficient understanding of medical terminology and billing procedures.
• Familiarity with healthcare insurance, Medicaid, and Medicare policies.
• Excellent analytical skills with attention to detail in billing processes.
• Strong communication skills to interact with patients and insurance companies.
• Ability to work independently while managing multiple billing tasks simultaneously.
• Proficient in using medical billing software and Microsoft Office Suite.