Medical Billing Representative 07D25

As a Medical Billing Representative, you will play a crucial role in the healthcare industry by ensuring that medical claims are processed accurately and timely. You will work with medical providers, insurance companies, and sometimes patients to make sure that bills are correct and paid on time. Your responsibilities will include reviewing patient bills, making sure all information is accurate, handling billing complaints or questions, and providing excellent customer service. Due to the complexity of insurance claims and payments, attention to detail and good communication skills are essential. This role requires familiarity with billing software and medical terminology, making it perfect for someone with previous experience in medical billing or a related field.

Responsibilities

• Process and submit accurate billing claims to insurance companies and patients.
• Review and verify patient billing data, including insurance information and background.
• Communicate effectively with healthcare providers, insurance companies, and patients.
• Investigate billing discrepancies and resolve billing issues promptly.
• Maintain confidentiality of patient records and sensitive billing information.
• Ensure timely follow-up on unpaid claims and collections from insurers.
• Prepare and process adjustments and refunds as necessary.
• Track billing activities and claim status through business software systems.
• Provide detailed documentation and updates in patient billing files.
• Assist patients with questions and concerns about their medical bills.
• Prepare reports on billing activities and identify areas for improvement.
• Stay updated on industry changes and company policies for accurate billing.

Requirements

• High School diploma or equivalent; further education is advantageous.
• Previous experience in medical billing or a healthcare administrative role.
• Familiarity with medical terminology and healthcare billing practices.
• Excellent attention to detail and strong organizational skills are critical.
• Proficiency in using medical billing software and Microsoft Office Suite.
• Strong communication skills to liaise professionally with stakeholders.
• Ability to work independently and manage multiple tasks efficiently.