Medical Biller

Summary

As a medical biller, you'll play a crucial role in healthcare administration by ensuring patient information is accurately coded for insurance claims and billing purposes. You will be responsible for reviewing medical records, assigning standardized codes (such as ICD-10 and CPT) to diagnoses, procedures, and treatments, and ensuring these codes are used to process claims with insurance companies.

Responsibilities

• Perform charge and demo entries.
• Analyze patient medical records to assign appropriate codes to diagnoses, procedures, and medical services using standardized coding systems (ICD-10 and CPT)
• Review bills for accuracy and completeness and obtain any missing information.
• Knowledge of insurance guidelines especially Medicare and state Medicaid.
• Check each insurance payment for accuracy and compliance with the contract.
• Understands the medical billing process, insurance rules and regulations, and can enforce/abide by policies and procedures.
• Document all actions taken in the company or Client host system.
• Adhere to HIPAA, patient confidentiality, and compliance requirements at all times.
• Research payor rules and regulations to maintain current payor knowledge.

Qualifications

• Proficiency in medical coding (ICD-10, CPT, HCPCS).
• Strong attention to detail to ensure accuracy in billing and coding.
• Knowledge of medical terminology and anatomy.
• Familiarity with healthcare billing software and electronic health records (EHR).
• Ability to navigate insurance claim processes and resolve issues.

Schedule (US Shifts Only)

Eastern Time - 6:30 p.m. - 3:30 a.m. IST, Monday - Friday

Logistical Requirements

Quiet and brightly illuminated work environment

Laptop with Minimum 8GB RAM, I5 8th gen processor

720P Webcam and Headset

A reliable ISP with a minimum speed of 100 Mbps

Smartphone