As a Medical Biller, my role encompasses a range of critical tasks to ensure the accuracy and efficiency of the billing process:
Charge Entry: Input and verify charges for medical services into the billing system, ensuring accurate coding and documentation of services rendered.
Claims Submission: Prepare and submit insurance claims electronically or via paper forms (CMS 1500, UB-04), ensuring compliance with payer guidelines and timely submission.
Accounts Receivables Follow-Up: Monitor and manage outstanding patient and insurance accounts, initiate follow-up procedures to address overdue balances, and ensure timely resolution of payment issues.
Denial Management: Analyze and investigate denied claims to identify root causes, prepare detailed documentation and corrective actions, and resubmit claims for reconsideration.
Payment Posting: Accurately post and apply payments, adjustments, and write-offs to patient accounts, reconcile payments with remittance advice, and update account records.
Appeals: Draft and submit appeal letters for denied or underpaid claims, including gathering supporting documentation, and communicate with insurance companies to resolve disputes and secure payment.
