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Synergy America, Inc

Medical Biller

Posted a month ago
0-2 years experience
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AI Summary

The Medical Biller is responsible for verifying patient insurance details, submitting claims, and managing accounts receivable to ensure timely revenue processing. They also compile monthly reimbursement data and serve as a primary point of contact between patients, providers, and insurance carriers.

We are seeking an organized, detail-driven Medical Biller for a Remote role with our client. Medical Biller to maintain monthly financial records, verify patient insurance details, and ensure timely revenue processing. The Medical Biller processes claims and provider invoices accurately and efficiently, and serves as a key link between patients, healthcare providers, and insurance carriers.

 

Skills:

·        High school diploma or GED

·        Working knowledge of HIPAA regulations and a firm commitment to patient privacy and data security  Exceptional attention to detail and organizational skills

·        Strong verbal and written communication skills, with the ability to convey information clearly and compassionately

·        Basic computer proficiency, including Microsoft Office (Excel and Word) and Google Workspace Preferred

·        1–2 years of medical billing experience

·        Experience with Epic, eClinicalWorks, or comparable medical billing software

·        Familiarity with medical terminology

·        Comfort with standard office equipment, including a 10-key calculator

·        CPB (AAPC) or CMRS (AMBA) certification

 

Responsibilities:

·        Key Responsibilities Insurance Verification.

·        Confirm patient coverage, eligibility for benefits and procedures, and policy limitations prior to services being rendered.

·        Claim Submission.

·        Prepare and submit monthly basic charge-entry medical claims to insurance providers and government programs, in electronic or paper format.

·        Accounts Receivable.

·        Follow up on unpaid, delayed, or denied claims, and assist with appeals and resubmissions through resolution.

·        Monthly Reporting.

·        Compile monthly reimbursement data and provide it to the medical provider via spreadsheet



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