Medical Biller Job Description: Top Duties and Qualifications

A Medical Biller, or Insurance Billing Specialist, is responsible for organizing patient medical costs and sending invoices to collect payment from patients and their insurers. Their duties include calling patients to discuss payment and develop reasonable payment plans, entering patient data into administrative systems and recording information about outstanding claims.

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Medical Biller Duties and Responsibilities

Next, the job description should cover the duties and responsibilities of the position. Being as detailed as possible ensures both the hiring manager and the job candidate are on the same page regarding expected duties. A few, but not all, duties to include in the description are:

  • Perform posting charges
  • Perform completion of claims to payers
  • Conduct duties in a professional and timely fashion
  • Submit billing data to the appropriate insurance providers
  • Process claims
  • Resolve denial instances
  • Achieve maximum reimbursement for services provided
  • Deploy, maintain and report on various programs
  • Do Medicare reviews
  • Do Medi-Cal reviews
  • Conduct audits
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Medical Biller Job Description Examples

 

Example 1

Medical Biller Job Description We are seeking a qualified and dedicated medical biller to join our administrative office. In this position, you will be responsible for a variety of tasks requiring data analysis, in-depth evaluation, and sound judgment. As our medical biller, your daily duties will include maintaining billing software, appealing denied claims, and recording late payments. To succeed in this role, you must possess in-depth knowledge of billing software and medical insurance policies. The ideal candidate must also be able to demonstrate excellent written and verbal communication skills, as communicating with clients and various insurance agents will form a large part of the job. Medical Biller Responsibilities: * Prepare and submit billing data and medical claims to insurance companies. * Ensure the patient’s medical information is accurate and up to date. * Prepare bills and invoices, and document amounts due to medical procedures and services. * Collect and review referrals and * Monitor and record late payments. * Follow-up on missed payments and resolve financial discrepancies. * Examine patient bills for accuracy and request any missing information. * Investigate and appeal denied claims. * Help patients develop patient payment plans. * Maintain billing software by updating rate change, cash spreadsheets, and current collection reports. Medical Biller Requirements: * Bachelor’s degree in business, health care administration, accounting or relevant field. * A minimum of 2 years’ experience as a medical biller or similar role. * Solid understanding of billing software and electronic medical records. * Must have the ability to multitask and manage time effectively. * Excellent written and verbal communication skills. * Outstanding problem-solving and organizational abilities. Job Type: Full-time Benefits: * Dental insurance * Health insurance * Paid time off * Vision insurance Experience: * ICD-10: 1 year (Preferred) Work Location: One location

Example 2

Live Well Psychiatry seeks a certified medical biller. Our billing is not complex, but it requires constant grooming because, well, insurance companies will be insurance companies. We have experienced and capable staff who do the patient collections. This position can be done on-site or from [website] support flexibility. Job Types: Full-time, Part-time Pay: $14.00 - $24.00 per hour Benefits: * 401(k) * 401(k) matching * Dental insurance * Health insurance * Paid time off * Vision insurance COVID-19 considerations: We are completely telehealth so our patients do not come into the office. We require vaccination to work in office, but, as noted above, this position can be done remotely. I would prefer to have an excellent biller working from home than otherwise. Experience: * CPT Coding: 1 year (Required) * Medical Coding Certification (Required) Work Location: One location

What Does a Medical Biller Do?

Medical Billers work in healthcare settings to manage incoming and outgoing payments for medical treatment. Their role is to communicate with patients about their outstanding balance and handling the administrative responsibilities of billing insurance and processing payments. Medical Billers interpret patient charts and medical codes to determine how much they own and whether any outside insurance covers part or all of their balance. They document each step in the billing process and manage patient information in a billing software database. Medical Billers investigate system errors and pursue information about denied claims to collect payments on a quick timeline.

Medical Biller Skills and Qualifications

In addition to the duties listed above, the job description should outline the skills and qualifications a person needs to get the job. Examples of skills and qualifications needed are listed below.

Soft Skills

  • Effective communication skills
  • Basic computer skills, such as sending emails, typing, and using spreadsheets
  • Interact virtually with clients and patients
  • Creative problem-solving skills
  • Work independently
  • Collaborate well with others
  • Multitask

Qualifications

  • Associate’s degree or higher
  • Minimum of 3 years experience in medical billing or any coding industry
  • Proficient in electronic medical records

Medical Biller Salary Expectations

When creating the job description, keep your intended pay rate for the position in mind. The average pay for medical billers is $33,218 per year but the salary you offer may vary depending on the applicant’s experience level and the company’s location and requirements. 

Medical Biller Education and Training Requirements

Some hiring managers require a degree or certificate in medical coding. Whether you do or not should be clearly listed in the job description. Outlining the position’s education and training requirements helps you discover only the applicants who qualify. The more qualified you want your applicants to be, the more education and training you need to list in your job description.

Medical Biller Experience Requirements

If you have any experience requirements, such as 3 or more years of coding experience or the ability to type a certain amount of words, state it in the job description. The more details you provide about the experience you prefer, the easier it is to find someone to fill your company’s open position.

Job Description Samples for Similar Positions

If the medical biller job description outlined above doesn’t meet your needs, you can always check out job descriptions for similar positions. A few similar examples to consider include:

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Frequently asked questions about Medical Billers

 

What is the difference between a Medical Biller and a Medical Coder?

Medical Billers work directly with patients and insurers to communicate about the status of invoices and account balances, while Medical Coders primarily work with the records themselves, entering data and classifying treatments based on their insurance classifications. After a patient undergoes medical treatment, the Medical Coder reviews their records and assigns codes to designate the correct billing information for their insurer. Medical Billers then use those codes to file the insurance claim and communicates with patients about the process. Medical Billers also follow up to collect payment and explain details about a patient’s deducible, premium and payment plan.

 

What are the qualities of a good Medical Biller?

Medical Billers are both administrative professionals and customer service providers, so they should have a combination of sharp clerical skills and friendly interpersonal habits. Medical Billers need to have enough interest in the medical field to memorize the meaning of different codes and notice any errors in the system. Good Medical Billers are active listeners who can respond appropriately to any questions from either patients or insurance professionals. They are patient enough to navigate the bureaucracy of complex insurance claims and to follow up with patients about their accounts. They enjoy solving problems through research and investigation.

 

What are the daily duties of a Medical Biller?

Medical Billers spend most of their time performing data entry on the computer or speaking on the phone to insurers and patients. They tend to work during typical business hours and may begin the day by preparing invoices for the previous day’s treatments and procedures. Medical Billers send invoices via mail or email before reaching out to patients over the phone about their bill. Based on medical codes in patient files, they submit claims to insurers and track their status. Medical Billers can appeal claim denials and work out payment plans with the medical office on behalf of the patient.

 

Who does a Medical Biller report to?

Medical Billers can report to a Billing Supervisor that oversees the entire billing processes of a medical office and sets standards and expectations for billing procedures. In smaller offices, Medical Billers might have more responsibility and report to an Office Administrator with updates about the status of collections. Private practices may have Medical Billers communicate directly with the lead Physicians to work out how billing impacts the clinic’s budget.

Job Description Examples

Need help writing a job description for a specific role? Use these job description examples to create your next great job posting. Or if you’re ready to hire, post your job on Indeed.

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