The Medical Billing Representative posts payments received from insurance companies, cash payments, and payment plans to the patient's accounts; enters adjustments, write-offs, and reconciles the patient' s accounts. The Medical Billing Representative reviews claims for non- payment, posts the zero payment to the patient’s account and writes off the unpaid procedures and claims; resubmits claims with corrected codes, submits secondary claims, and mails statements for co-pays and balances due on the account. The Billing Specialist works reports; processes refunds and check requests; does account clean up, and serves as a resource to the medical practices to help improve billing processes and accuracy. Calls resident physicians for confirmation.
- SPECIFIC DUTIES AND RESPONSIBILITIES
The following are the specific duties and responsibilities of the Medical Billing Representative.
- Upload insurance card images and patient information into EHR, AMD
- Escalate missing card information to Mindful Support Services team for follow-up and acquisition
- Process and audit patient intake documents and enter data into EHR, AMD
- Ensure all patients have submitted required documentation prior to their scheduled appointment.
- Review spreadsheet log of patients with due payment for Telehealth services.
- Examine visits to be charged.
- Look up chart number and cross-reference.
- Process payment and update status of record.
- Confirm patient and any dependent’s information.
- Verify insurance carrier, policy and group number, and employer.
- Tax ID and office address, where applicable.
- Enter information into EHR and escalate missing information.
REQUIREMENTS
- Bachelor’s degree in business, health care administration, accounting or relevant field is recommended.
- A minimum of 1 year experience as a medical biller or similar role.
- Must have the ability to multitask and manage time effectively.
- Excellent written and verbal communication skills.
- Outstanding problem-solving and organizational abilities.
- Senior Level English Proficiency