What are the responsibilities and job description for the Biller position at Prestige Staffing?
JobID: 46386
Job Title: Medical Biller
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.
