If you are interested in medical billing as a career, you can explore the elements often found in the job description for the position below. If you are updating or writing a job description for the position, you can use the elements below and modify them as is appropriate for your facility. You may also be interested in learning about the expected salary as well as the employment outlook for a medical biller.https://2302b1c7b3b2ad497d881ea641520910.safeframe.googlesyndication.com/safeframe/1-0-38/html/container.html
Medical Biller Job Description
In essence, a medical biller is responsible for the timely submission of technical or professional medical claims to insurance companies. The position may be located in physician offices, hospitals, nursing homes, or other healthcare facilities.
Job Duties for Medical Biller
What does a medical biller do day to day on the job?2 The specific duties, as well as the amount of time you would spend on these, will vary from one setting to another. That said, your occupational duties may include:
- Obtaining referrals and pre-authorizations as required for procedures.
- Checking eligibility and benefits verification for treatments, hospitalizations, and procedures.
- Reviewing patient bills for accuracy and completeness, and obtaining any missing information.
- Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.
- Following up on unpaid claims within standard billing cycle timeframe.
- Checking each insurance payment for accuracy and compliance with contract discount.
- Calling insurance companies regarding any discrepancy in payments if necessary
- Identifying and billing secondary or tertiary insurances.
- Reviewing accounts for insurance of patient follow-up.
- Researching and appealing denied claims.
- Answering all patient or insurance telephone inquiries pertaining to assigned accounts.
- Setting up patient payment plans and work collection accounts.
- Updating billing software with rate changes.
- Updating cash spreadsheets, and running collection reports.
In addition to these general duties, an individual employer may request that you perform other duties that fit with your training and background experience or provide further training for new duties.
Education and Experience Required
The amount of education and experience an employer requires will vary depending on the complexity of the job and need. While a minimum work experience is often preferred, if you have been properly trained to fulfill all potential duties, don’t let a lack of experience deter you from applying.
Basic requirements typically listed include:
- A high school diploma
- Knowledge of business and accounting processes usually obtained from an associate’s degree, with a degree in Business Administration, Accounting, or Health Care Administration preferred.
- A minimum of one to three years of experience in a medical office setting