Medical Biller

Cynet Systems•Houston, TX

About The Position

The Medical Biller is responsible for ensuring patient information is accurate and complete, requesting any missing patient information, reviewing referrals and authorizations, and confirming patient benefits and insurance. This role requires adherence to all regulations and guidelines set by Medicare, state programs, and HMO/PPO. The Medical Biller will transfer insurance claims and billing data to billing software, create paper and electronic documentation, and develop and maintain a tracking system for incoming and late payments. Responsibilities also include monitoring and dating late payments, initiating late payment notices, responding to inquiries, following up on late payments, monitoring and resolving financial discrepancies, arranging payment plans, filing and maintaining organized documentation, updating and reviewing accounts, and maintaining patient confidentiality.

Requirements

Previous experience as a medical biller or in a related healthcare administrative position.
Well-versed in billing software and medical insurance regulations.
Expertise in responding to patient and insurance inquiries.
Proficient computer skills, including Microsoft Office Suite (Word, PowerPoint, Outlook, and Excel).
High school diploma or equivalent.

Nice To Haves

Bachelor's degree in accounting, health care administration, finance, business, or related field preferred.
Working knowledge of billing software is a plus.
Ability to multitask, prioritize, and manage time efficiently.
Self-motivated and self-directed; able to work without supervision.
Strong verbal and written communication skills.
Strong customer service skills and comfortable answering both patient and insurance company questions.
Ability to analyze problems and strategize for better solutions.

Responsibilities

Ensure patient information is accurate and complete.
Request any missing patient information.
Review referrals and authorizations.
Confirm patient benefits and insurance.
Follow all regulations and guidelines set by Medicare, state programs, and HMO/PPO.
Transfer insurance claims and billing data to billing software.
Create both paper and electronic copies of documentation.
Develop and maintain a tracking system of incoming and late payments.
Monitor and date late payments.
Initiate late payment notices to relevant parties.
Respond to questions and complaints from patients or insurance companies.
Follow-up on late or missed payment notices.
Monitor and resolve financial discrepancies.
Arrange payment plans and timelines for payments.
File and maintain organized documentation of all billing and records.
Follow set billing processes and procedures.
Update and review all accounts to keep records of payments up-to-date.
Work with personal information and maintain patient confidentiality.