Overview
As a Medical Biller, you will be responsible for accurately and efficiently processing healthcare claims and invoices to ensure timely reimbursement from insurance companies and patients.
Key Responsibilities
- Review patient medical records, encounter forms, and other documentation to accurately code diagnoses, procedures, and services rendered.
- Utilize appropriate coding systems (e.g., ICD-10, CPT, HCPCS) to assign codes that comply with insurance guidelines and regulatory requirements.
- Verify patient insurance coverage, eligibility, and benefits prior to claim submission.
- Compile and prepare electronic or paper claims for submission to insurance carriers or government payers.
- Transmit claims electronically using billing software or submit paper claims via mail or other designated channels.
- Ensure that all required claim information, attachments, and supporting documentation are included to facilitate prompt adjudication.
- Monitor claim status and follow up on unpaid, denied, or delayed claims in a timely manner.
- Contact insurance carriers to inquire about claim status, denial reasons, and payment discrepancies.
- Investigate and resolve claim rejections, coding errors, and other issues contributing to payment delays or denials.
Seniority level
Employment type
Job function
- Accounting/Auditing and Finance
Industries
Location
Knoxville, TN
Qualifications
- Knowledge of ICD-10, CPT, and HCPCS coding systems
- Experience with medical billing software and electronic claim submission
- Ability to verify eligibility and benefits and to communicate effectively with insurers and patients
- Strong attention to detail and accuracy in coding and documentation
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