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

Medical Biller Job Description Examples:

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Medical Biller

Innovative Claims Strategies LLC is a growing Piscataway NJ based national managed care service provider to the Workers' Compensation, Auto, and Liability markets. We are currently looking for an experienced Medical Bill Processor to join our team. This continued growth has resulted in the need to add full time staff. This position will be conducted from a home-based office with all necessary hardware and software supplied by ICS. Having a Certified Coder designation is highly desirable.

The Medical Bill Review processor’s primary responsibilities include entering medical bill information, both the Header and Line Detail data, collected from a medical provider’s bill into our computerized software system. Additional responsibilities include, reviewing to ensure the supporting medical documentation supports the services being billed by the medical provider, establish and adhere to client specific parameters during the medical bill review and audit process, and interacting with our clients Claims Adjusters and ICS Nurse Case Managers on the proper adjudication of a medical bill.

Candidates must possess excellent data entry keying skills to ensure medical bills will be priced correctly and in accordance with jurisdictional requirements. Candidates must have excellent written communications skills, sharp customer service skills and be able to work independently. Other qualifications include being detailed, organized, and task-oriented, Prior experience in a computerized data entry environment along with medical/insurance terminology is preferred but not required.

Job Type: Full-time

Salary: $18.00 to $24.00 /hour

Experience:

  • Medical Billing And Coding: 1 year (Preferred)

    Education:

  • High school or equivalent (Preferred)

    License:

  • Certified Coding (Preferred)

    Work Location:

  • Fully Remote

    Benefits:

  • Health insurance

  • Dental insurance

  • Vision insurance

  • Retirement plan

  • Paid time off

  • Flexible schedule

  • Tuition reimbursement

    This Company Describes Its Culture as:

  • Innovative -- innovative and risk-taking

  • Outcome-oriented -- results-focused with strong performance culture

  • Team-oriented -- cooperative and collaborative

    Schedule:

  • Monday to Waiting period may apply
  • ×

    Medical Biller

    Seeking a Medical Biller to support a Medical Billing Services company in San Jose, California. This will be an opportunity looking to hire immediately and offer growth within the role.

    The ideal candidate will have a strong background in full revenue cycle medical billing, with the skills necessary to improve the clients current billing procedures. The successful applicant will be responsible for the full cycle of billing and A/R activities to ensure prompt and accurate billing.

    Responsibilities and Duties

  • Post medical charges into medical billing software to meet daily and monthly goals

  • Claims management and evaluation of payments, denials, and appeals

  • Coordinate with clinics to ensure all outstanding bills are collected

  • Data entry of patient demographics and input charges accordingly

  • Ability to appropriately assign modifiers

  • Medical reimbursements

  • Initiate refunds for patients

  • Various billing and collections functions to ensure accurate and timely claim processing

  • Confirm patient benefits and insurance

  • Follow-up on late or missed payment notices

  • General knowledge of ICD-9, ICD-10 and CPT codes

    Qualifications and Skills

  • Previous Medical Billing experience

  • High School Diploma or GED

  • Medical Billing Certificate a bonus

  • Possess knowledge of billing software

  • Ability to communicate and work effectively

  • Willingness to work remotely

    Job Type: Part-time

    Salary: $17.00 to $26.00 /hour

    Experience:

  • medical billing: 1 year (Preferred)

    Additional Compensation:

  • Commission

  • Bonuses

    Work Location:

  • Fully Remote

    Benefits:

  • None

    Hours per week:

  • Less than 10

    Schedule:

  • Monday to Friday

    Benefit Conditions:

  • Only full-time employees Yes
  • ×

    Medical Biller

    Lakeview Behavioral Health is a private mental health and substance use clinic providing a range of clinical services. We are seeking a Billing/Client Account Specialist who is detail oriented, enjoys working as a team and independently in a fast paced environment.

    Duties include: Submit claims weekly after reviewing claims from the providers to ensure that all criteria is met for service lines. Post and track payments. Follow up with clients regarding payment plans for past due account balances. Follow up with clients if missed monthly payments are not received. Contact insurance companies regarding underpaid and or unpaid accounts. Enter financial or billing formation in clients accounts. Communicate with providers with progress in resolving billing issues. Work directly with credentialing for providers, insurance companies, billing and contracts. Generate and send client statements monthly. Generate monthly reports and invoices for contracted providers. Prepare weekly bank deposits. Work monthly aging reports for outstanding balances and resubmit corrected claims. Resolve insurance authorizations and denials. Must provide excellent customer service to our internal and external clients. Submit appeals to insurance companies as needed to secure payments on claims. Serve as point of contact for clients that have questions regarding their statements or account.

    Job Type: Full-time

    Salary: $14.00 to $17.00 /hour

    Experience:

  • medical billing: 1 year (Required)

    Education:

  • High school or equivalent (Required)

    Work Location:

  • Fully Remote

    Benefits:

  • Health insurance

  • Retirement plan

  • Paid time off

    Schedule:

  • Monday to Friday

    Company's Facebook

  • 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:

    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

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