Medical Biller/Accounts Receivable Specialist

Position Summary:

The Medical Biller and Accounts Receivable Specialist is a key member of the revenue cycle team. They participate in the data entry of billing information to ensure accurate and timely billing submissions as well as reviewing unpaid, rejected or underpaid claims; identifying the errors and submitting formal appeals.

Responsibilities:

Knowledge of Medical Terminology, ICD-10 and CPT codes

Report missing charges/documentation to supervisor and/or provider

Enter charge data into Patient Keeper billing interface

Maintain Patient Keeper files for validity errors

Review and work TES Work Files

Work rejections from the Clearinghouse to correct errors for resubmissions

Generates and submits electronic claims

Work collaboratively with providers and administrative staff to resolve billing discrepancies

Respond to patient billing inquiries

Review and work department review work files

Investigate and resolve claim denials, rejections and payment variances

Submit corrected claims, appeals and supporting documentation as needed

Work aging reports and prioritize accounts based on timely filing limits

Review and adjust claims as needed

Process refunds

Perform other related duties as assigned by management

Complete special department projects