Medical billing and coding personnel are an important part of a healthcare facility. They manage payments, insurance information, claims, and collect due payments. In some facilities they might be expected to perform some duties of a medical coder and perform data entry operations.
Medical billing professionals may be expected to collect payment for the services that a facility renders. They are required to keep in constant touch with insurance companies so in order to ensure that claims are paid and that all other dues are managed properly.
You will find medical billers in all areas of the healthcare industry such as clinics, hospitals, hospices and even doctors’ offices. They also work with companies outsourcing medical billing facilities. Medical billers are trained personnel who are required to possess high attention to detail and a good typing speed. Excellent telephone etiquette is also important as medical billers spend a lot of their time on the phone.
Being a medical billing professional entails some important skills that an individual needs to possess before he can be employed in this capacity. Look at some of these skills; these phrases can be effectively utilized in the skills or qualifications section of your resume.
• Extensive knowledge of ICD-9, ICD-10, SNOMED CT and CPT-4 codes
• Hands-on experience with EMR, EDI and ERA posting
• Familiar with commercial insurances, HMO’s, Medicaid and Medicare
• In-depth knowledge of advanced medical terminology
• Hands on experience in medical transcription duties
• Functional knowledge of insurance companies and claims information
• Recognized for taking ownership in position
• Self-motivated with a demonstrated ability to work both independently as well as collaboratively
• Thorough understanding of medical billing of insurance procedures
• Track record of reducing outstanding patient account receivables
• Effectively identify and resolve disputes and billing issues of patients
• Competent in evaluating patients’ financial status and making payment plans accordingly
• Contacts patients via phone call that have an unpaid self-pay balance.
• Able to liaise with insurance carrier and patients to resolve balance issues
• Great attention to detail
• Profound ability to manage basic accounting functions
• Excellent negotiation and critical thinking acumen
• Comprehensive knowledge of human anatomy
• Computer: Windows, MS Word and Excel, Electronic Remittance Advice, medical billing software, patient database, e-mail, internet and voice mail
• Typing speed: 55 WPM with accuracy
• Proven ability to maintain patient confidentiality
• Well-versed with legality and ethics of the medical field
• Demonstrated ability to manage time effectively
• Professional phone demeanor
• Professional appearance, positive attitude and excellent written and verbal communication skills
• Efficiently collaborate with all levels of management