Medical Billing Specialist

Overview

Looking for full-time work (8 hours/day)

at $5.00/hour ($880.00/month)

Bachelors degree

Last Active

December 2nd, 2024 (today)

Member Since

September 17th, 2022

Profile Description

As a medical biller, my role primarily revolves around the process of billing for healthcare services provided to patients. This job is essential for ensuring that healthcare facilities and providers are accurately compensated for the services rendered. Furthermore, I regularly communicate with insurance companies and other healthcare professionals to resolve any issues regarding claims, denials, or payment discrepancies. This collaboration is vital for expediting reimbursement and maintaining positive relations between all parties involved.

Finally, I stay updated with the latest regulations and changes in billing practices, such as HIPAA compliance and reimbursement policies, to ensure adherence to all legal and ethical standards. This commitment enhances my ability to contribute effectively to the financial health of the healthcare organization I represent.

My roles as a Medical Biller:

- Prepare and submit claims to insurance companies or other payers, ensuring that all necessary information and documentation are included.
- Track the status of submitted claims and follow up with insurance companies or patients to resolve any issues or denials.
- Record payments received from insurance companies and patients, and reconcile these with the billed amounts.
- Generate and send invoices to patients for any remaining balance after insurance payments, and assist with payment plans if necessary.
- Handle disputes and queries related to billing, whether from patients or insurance companies, and work to resolve them effectively.
- Ensure that billing practices comply with healthcare regulations, including HIPAA (Health Insurance Portability and Accountability Act) and other relevant laws.
- Maintain accurate records of all billing transactions, claims, and patient interactions for future reference and audits.
- Generate reports on billing activities, payment status, and outstanding balances for internal review and financial analysis.
- Coordinate with healthcare providers, insurance companies, and patients to clarify billing issues, provide explanations, and gather necessary information.

Experience in EHR/EMR billing softwares:
- Tebra
- Prompt
- Office Ally

Payer Portals:
- Availity
- Navinet
- UHC