Medical Biller

• Prepare and submit medical insurance claims to insurance companies or government agencies. This involves verifying insurance coverage, obtaining necessary pre-authorizations, and ensuring all required documentation is complete.
• Assign appropriate medical codes (ICD-10, CPT, HCPCS) to diagnoses and procedures for billing purposes. Review medical records and provider notes to accurately code services rendered.
• Generate patient invoices for services rendered, including deductibles, co-payments, and any outstanding balances. Communicate with patients regarding their bills, payment options, and any billing inquiries.
• Record and reconcile payments received from patients and insurance companies. Ensure all payments are applied correctly to patient accounts.
• Monitor outstanding insurance claims and follow up with insurance companies to resolve any issues or delays in payment. Resubmit claims with corrections as needed.
• Investigate and appeal denied claims to maximize reimbursement. Identify trends or common reasons for claim denials and work with providers to address and prevent recurring issues.
• Maintain compliance with healthcare regulations and billing guidelines, including HIPAA regulations and insurance industry standards. Stay informed about changes in billing codes, reimbursement rates, and billing procedures.
• Maintain accurate records of billing activities, including claim submissions, payments received, and accounts receivable. Generate reports on billing performance, revenue collection, and accounts aging.

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Advantage Resourcing is committed to providing equal employment opportunity for all persons regardless of race, color, religion (including religious dress and grooming practices), sex, sexual orientation, gender, gender identity, gender expression, age, marital status, national origin, ancestry, citizenship status, pregnancy, medical condition, genetic information, mental and physical disability, political affiliation, union membership, status as a parent, military or veteran status or other non-merit based factors. We will provide reasonable accommodations throughout the application, interviewing and employment process. If you require a reasonable accommodation, contact us. Advantage Resourcing is an E-Verify employer. This policy is applicable to all phases of the employment relationship, including hiring, transfers, promotions, training, terminations, working conditions, compensation, benefits, and other terms and conditions of employment.

All employees are directed to familiarize themselves with this policy and to act in accordance with it. All decisions with respect to employment matters and other phases of employer-temporary employee relationships will be in keeping with this policy and in accordance with all applicable laws and regulations.