There are two sides to a medical biller and collector’s work – handling insurance and patient billing work, and ensuring that payments are collected and posted in a timely manner.
Since a medical biller has to be in constant contact with insurance company representatives and patients, it is important for him or her to be a great communicator and an excellent negotiator.
Knowledge of popular billing systems, Medicaid and Medicare rules and guidelines, and insurance company protocols is also of great importance.
Mostly, a high school diploma or a GED is sufficient to work as a medical biller.
However, most organizations would want a certified medical biller from a state-approved institute.
Your typing and data entry skills should be excellent, and you should be able to get along with people well.
The work of a medical biller is complex in the sense that there is a lot to look into. Medical billers work with a lot of data and it is up to them to make sure that they do not muddle records.
Good organizational skills, the ability to work with accuracy, and a penchant for performing quality work are important when working in this role.
Job Description for Medical Biller Collector Resume
• Clean up accounts receivable reports by ensuring that all outstanding debts and payments are made on time.
• Look through patients’ bills to review them for accuracy and completeness and ensure that any missing information is quickly obtained by contacting the right sources.
• Maintain knowledge of both Medicare and Medicaid rules and guidelines and ensure that any updated information is acquired immediately.
• Identify insurance companies and third parties to contact for payment purposes.
• Create and maintain effective liaison with insurance companies on the facility’s panels to ensure easy payment of claims.
• Call up insurance companies to determine the status of submitted claims and inquire into reasons for claim denial.
• Resubmit denied claims and follow up on them to ensure that they are timely paid.
• Review incoming payments from insurance companies and third parties and ensure that they are accurately and timely posted to patients’ accounts.
• Perform billing duties by utilizing a combination of electronic health records and paper patient records systems.
• Review all posted payments for accuracy and completeness and identify and report any discrepancies to the medical billing supervisor.
• Work with involved parties to resolve discrepancies associated with partially paid claims.
• Provide clients with heads on their insurance payments and follow up with them for copays and any additional payments that may have occurred due to insurance non-payment.