Pathway Healthcare Management Solutions

Medical Biller

**Summary Description**

  • We are seeking a qualified and dedicated Medical Biller to join our administrative office. In this position, you will be responsible for a variety of tasks requiring data analysis, in-depth evaluation, and sound judgment. The ideal candidate must also be able to demonstrate excellent written and verbal communication skills, as communicating with clients and various insurance agents will form a large part of the job.

**Responsibilities**

  • Prepare and submit billing data and medical claims to insurance companies.
  • Ensure the patient's medical information is accurate and up to date.
  • Prepare bills and invoices, and document amounts due for medical procedures and services.
  • Collect and review referrals and pre-authorizations.
  • Monitor and record late payments.
  • Follow-up on missed payments and resolve financial discrepancies.
  • Examine patient bills for accuracy and request any missing information.
  • Investigate and appeal denied claims.
  • Help patients develop patient payment plans.
  • Maintain billing software by updating rate change, cash spreadsheets, and current collection reports.

**Qualifications**

  • Bachelor's degree in Business, Health Care Administration, Accounting or relevant field.
  • A minimum of 2 years' experience as a Medical Biller or similar role.
  • Solid understanding of billing software and electronic medical records.
  • Must have the ability to multitask and manage time effectively.
  • Excellent written and verbal communication skills.
  • Outstanding problem-solving and organizational abilities.
  • Seniority level

    Associate
  • Employment type

    Full-time
  • Job function

    Accounting/Auditing
  • Industries

    Medical Practices, Hospitals and Health Care, and Pharmaceutical Manufacturing

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