BILLER

Job Description

MedCycle Management is looking for a qualified medical biller to join our insurance department.

Responsibilities:

Prepare and submit insurance claims to insurance companies or government agencies for reimbursement. This involves verifying insurance coverage, determining patient responsibility, and ensuring claims are submitted accurately and promptly.

Knowledge of medical terminology and coding guidelines is essential.

Respond to inquiries from insurance companies, and health facilities regarding billing issues, claim status, and insurance coverage.

Follow up on unpaid or denied claims.

Ensure compliance with healthcare regulations and billing guidelines, such as HIPAA and CMS regulations.

Use medical billing software to input and track patient information, claims, and payments. Familiarity with billing software (EPIC, Meditech, Cerner) is desired.

Document all interactions with insurance companies and facilities for record-keeping and audit purposes.

Ability to analyze medical records, insurance coverage, and billing guidelines to ensure accurate claims submission and reimbursement.

Qualifications:

Prior medical billing (primary/secondary) is required. Familiarity with medical terminology, coding systems, and billing practices is essential.

Must have strong attention to detail to accurately submit claims and follow up on denials.

Excellent communication skills for interacting with insurance companies and healthcare facilities to resolve billing issues and inquiries effectively.

Education:

A high school diploma is required. Additional education in medical billing and coding, or a related field preferred.

CPB or CRCR preferred, but not required.