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People USA

Medical Biller

People USA, Poughkeepsie, New York, United States

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Medical Biller

role at

People USA

Base pay range $50,000.00/yr - $50,000.00/yr

Job Position:

Medical Biller

Agency:

People USA

Location:

Poughkeepsie, NY 12603

Work Schedule:

Monday through Friday 9AM to 5PM

Salary:

$50,000 per year/exempt

Job Summary:

The Medical Biller is responsible for managing the administrative process of submitting insurance claims to payers on behalf of a healthcare provider, including verifying patient insurance coverage, preparing and submitting accurate medical bills, following up on unpaid claims, resolving billing discrepancies and communicating with patients regarding outstanding balances to ensure timely payments for medical services rendered.

Job Responsibilities

Claim submission: Creating and submitting electronic or paper claims to insurance companies, including accurate coding of diagnoses and procedures based on medical records.

Patient verification: Checking patient insurance eligibility and benefits, obtaining pre-authorizations for procedures when necessary.

Billing accuracy: Reviewing medical records for completeness and accuracy to ensure proper billing.

Claim follow-up: Monitoring claim status, contacting insurance companies to resolve claim denials or billing issues, and initiating appeals when necessary.

Patient communication: Explaining patient bills, addressing billing inquiries, and setting up payment plans for outstanding balances.

Data management: Maintaining patient demographic information and billing records within electronic health records (EHR) systems.

Compliance: Adhering to HIPAA regulations and staying updated on healthcare billing guidelines and coding practices.

Other responsibilities/duties as assigned.

Medical Billing Software

Awards

Excel

Optum – Medical Network Solutions | Claims Clearinghouse

Job Qualifications

Proficient in medical billing software and electronic health records (Awards) systems.

Strong Knowledge of Medical coding and medical collection processes.

Excellent Attention to Detail with strong organizational skills, patients and insurance representatives.

Associate degree related field preferred or 5 years of medical billing work experience

Reports to:

Medical Billing Supervisor

Seniority level Entry level

Employment type Full-time

Job function Health Care Provider

Industries Mental Health Care

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