Key Responsibilities :
- Supervise and mentor medical billing associates to ensure performance and compliance.
- Accurately enter and review patient demographics, insurance details, and charges in the billing system.
- Verify patient eligibility and payer information prior to charge entry.
- Process and submit medical claims; correct rejections to minimize denials.
- Post insurance and patient payments with daily reconciliation.
- Verify bulk checks, insurance payments, and correspondence before posting.
- Follow up on outstanding claims and promptly appeal denials.
- Communicate with insurance payers to ensure timely claim resolution.
- Generate accurate patient statements and ensure on-time delivery.
- Apply insurance adjustments and contractual write-offs correctly.
- Maintain accurate documentation of claims, payments, and correspondence.
- Prepare and update the Daily Work Confirmation Report and secure sign-offs.
- Ensure compliance with HIPAA regulations and organizational protocols.
Qualifications :
Bachelor’s degree in any field.Minimum of 5 years’ experience in medical billing.Strong understanding of the Revenue Cycle Management (RCM) process (charge posting, payment posting, AR follow-up).Knowledge of HIPAA regulations and compliance standards.Proficiency in Practice Management Software (PMS).Familiarity with insurance guidelines, EOB, and ERA processing.
Strong Excel and data entry skills.
Excellent leadership, organizational, and communication abilities.