Medical Billing Coordinator

Corporate Office
Posted 2 years ago

Job Summary

Medical billing specialist consist of using CPT codes to assemble and coordinate reimbursement claims for third-party payers. Medical billing specialist interact with insurance companies and with patients to ensure accurate, streamlined billing and payment.

Job Duties for Medical Billing Spacialist

  • Receiving patient treatment codes to use in assembling reimbursement claims
  • Creating reimbursement claims and transfer to third-party payers
  • Coordinating reimbursement activities with payers
  • Billing patients for medical services
  • Obtain referrals and pre-authorizations as required for procedures
  • Check eligibility and benefit verification
  • Review patient bills for accuracy and completeness and obtain any missing information
  • Prepare, review, and transmit claims using billing software, including electronic and paper claim processing
  • Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid
  • Follow up on unpaid claims within standard billing cycle timeframe
  • Check each insurance payment for accuracy and compliance with contract discount
  • Call insurance companies regarding any discrepancy in payments if necessary
  • Identify and bill secondary or tertiary insurances
  • All accounts are to be reviewed for insurance or patient follow-up
  • Research and appeal denied claims
  • Answer all patient or insurance telephone inquiries pertaining to assigned accounts.
  • Set up patient payment plans and work collection accounts
  • Update billing software with rate changes
  • Updates cash spreadsheet, runs collection reports


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Job Features

Job CategoryCoding and Billing

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