What are the responsibilities and job description for the Medical Claims Processor position at LaSalle Network?
About the Role
We are seeking a skilled Medical Biller to join our team at LaSalle Network. As an experienced professional with expertise in Epic EMR, you will be responsible for processing and submitting claims to insurance companies, verifying insurance coverage, and communicating with stakeholders.
Duties and Responsibilities
- Claims Processing: Submit claims to insurance companies, ensuring timely and accurate billing.
- Claim Review: Review and correct denied or rejected claims, following up with payers to resolve issues.
- Insurance Verification: Verify insurance coverage and patient eligibility using Epic EMR.
- Account Reconciliation: Post payments and adjustments, reconciling accounts to ensure accuracy.
- Communication: Communicate with insurance providers, patients, and internal teams regarding outstanding balances and billing inquiries.
- Compliance: Ensure compliance with federal and state regulations, including HIPAA and payer-specific billing guidelines.
- Reporting: Generate and analyze reports related to claims, payments, and outstanding accounts.