Medical Billing Representative
About The Position
The Medical Billing Representative ensures that all patient information, charges, billings, and follow-ups are accurate, complete, and timely. This role is responsible for preparing and submitting claims to various insurance companies through appropriate channels. The representative will retrieve status information from payer websites, make minor corrections to patient account information as needed to ensure timely payments, and follow each account through to complete resolution. This position requires good organizational, time management, and multitasking abilities, as well as excellent verbal and written communication skills and the ability to meet strict deadlines. Maintaining strict confidentiality by adhering to all HIPAA guidelines and regulations is mandatory.
Requirements
- High School Diploma or GED
- Minimum of one year billing experience in a health care organization
- Maintaining strict confidentiality by adhering to all HIPAA guidelines and regulations
Nice To Haves
- Bachelor Degree and/or 3 years Healthcare billing experience
- AHIMA/AAPC certified
Responsibilities
- Creating and navigating Meditech account work lists (30%)
- Correcting billing edits such as Incomplete, Rejection, Medical Review and Hold categories in Emdeon System (30%)
- Performing consistent internal follow-up regarding bill holds for timely submission of claims (20%)
- Performing Customer Service related actions (10%)
- Abiding by productivity standards set by business office leadership (5%)
- Reading and understanding patient medical records and ensuring HIPAA confidentiality (5%)
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
