Job Description

Job Summary ( 2 to 3 years experience) We are seeking a diligent and detail-oriented Medical Biller to join our team in the Medical billing. The successful candidate will play a vital role in ensuring the accuracy of medical billing and coding processes, which are essential for the smooth operation of healthcare services. As a Medical Biller, you will be responsible for managing billing cycles, reviewing patient records, and submitting claims to insurance companies. You will work closely with healthcare providers, insurance agencies, and patients to address billing inquiries and resolve discrepancies and payment posting. The ideal candidate will possess strong analytical skills, proficiency in medical billing software, and a comprehensive understanding of US healthcare regulations and reimbursement methodologies. Roles and Responsibilities Review and validate medical records and patient information for accuracy. Prepare claim (UB-04 and CMS-1500) and timely submit claims to insurance companies. Follow up on outstanding claims and resolve any billing issues or disputes. Review and analyze billing data to identify inconsistencies or errors. Maintain updated knowledge of medical billing codes, insurance guidelines, payment posting and regulatory requirements. Communicate effectively with healthcare providers, patients, and insurance representatives regarding billing inquiries. Generate regular reports on billing activities and outstanding claims for internal review. Qualifications Graduate with 2 to 3 years experience as a Medical Biller or in a similar billing role in the US healthcare sector. Complete RCM cycle knowledge. Knowledge of medical billing software and electronic health record systems. Familiarity with ICD-10, CPT, and HCPCS coding standards. Strong attention to detail and exceptional organizational skills. Excellent verbal and written communication abilities. Ability to analyze data and problem-solve efficiently. Knowledge of US healthcare insurance processes and regulations.