Medical Biller

External Community Memorial Hospital•Hamilton, NY

14h

About The Position

The Medical Biller is responsible for reviewing assigned claims daily for accuracy, monitoring payer updates, and working accounts receivable. This role involves following up on unpaid claims, posting payments, preparing cash reports, and making necessary corrections for accurate and timely claim submission. The Medical Biller will also manage bill holds, utilize payer websites, handle patient interactions regarding payments and appeals, prepare Good Faith Estimates, and coordinate with other departments to ensure efficient billing processes. Teamwork and positive support are essential.

Requirements

Experience in medical billing.
Ability to review assigned claims daily for accuracy.
Skill in monitoring payer updates and bulletins.
Proficiency in reviewing and working accounts receivable.
Experience following up on unpaid claims with insurance companies.
Ability to post insurance and personal payments accurately and timely.
Skill in preparing daily cash reports.
Experience performing edit corrections and submitting claims/rebills.
Ability to monitor assigned bill holds and work lists.
Proficiency in utilizing payer websites.
Experience with transferring, adjusting, and refunding payments.
Excellent telephone etiquette and communication skills.
Ability to handle patient appeals, grievances, and complaints.
Experience preparing Good Faith Estimates.
Ability to interact with other departments for coordination.
Must promote teamwork.

Responsibilities

Reviews assigned claims daily for accuracy.
Monitors payer updates and bulletins and shares with coworkers/manager as appropriate.
Responsible for reviewing and working accounts receivable and following up on unpaid claims with insurance companies.
Post insurance and personal payments in an accurate and timely manner.
Prepare and ensure accuracy of daily cash report.
Performs required edit corrections and submits claims/rebills to payers in a manual or electronic format to ensure accurate and timely filing.
Monitors assigned bill holds and other work lists and ensures expeditious resolution.
Effectively utilizes payer websites as needed in the execution of daily tasks.
Transfer, adjust, and refund payments when appropriate for accounts.
Handles telephone interactions with courtesy and respect ensuring appropriate interactions with patients and staff.
Responds promptly to all requests.
Must be able to understand and direct patients with appeals, grievances, and complaints to appropriate resolution.
Prepares Good Faith Estimates.
Interacts with other departments, ensuring coordination between coding/billing and providers to ensure timely posting and billing of all claims.
Provides positive and productive support to the team and promotes teamwork.
All other duties as assigned by the manager.