Germantown, Maryland
Medical Biller/Collector Job Opening in Germantown, Maryland - Medical Biller Job Summary
We are looking for an organized and experienced medical biller to join our busy 3-office Family Medicine Practice.. The medical biller will be responsible for transferring patient and insurance information, and initiating payment processes and procedures. The ideal candidate will be well-versed in billing software, medical insurance regulations, and an expert at responding to patient and insurance inquiries. The medical biller will also be responsible for maintaining patient confidentiality, handling personal information, and accurately inputting patient data into software.
Medical Biller Duties and Responsibilities
Ensure patient information is accurate and complete
Request any missing patient information
Review referrals and authorizations
Confirm patient benefits and insurance
Follow all regulations and guidelines set by Medicare, state programs, and HMO/PPO
Initiate late payment notices to relevant parties
Respond to questions and complaints from patients or insurance companies
Follow-up on late or missed payment notices
Monitor and resolve financial discrepancies
Arrange payment plans and timelines for payments
File and maintain organized documentation of all billing and record
Follow set billing processes and procedures
Update and review all accounts to keep records of payments up-to-date
Work with personal information and maintain patient confidentiality
Obtain referrals and pre-authorizations as required for procedures
Check eligibility and benefit verification
Review patient bills for accuracy and completeness and obtain any missing information
Prepare, review, and transmit claims using billing software, including electronic and paper claim processing
Follow up on unpaid claims within standard billing cycle timeframe
Check each insurance payment for accuracy and compliance with contract discount
Call insurance companies regarding any discrepancy in payments if necessary
Identify and bill secondary or tertiary insurances
All accounts are to be reviewed for insurance or patient follow-up
Research and appeal denied claims
Answer all patient or insurance telephone inquiries pertaining to assigned accounts.
Set up patient payment plans and work collection accounts
Update billing software with rate changes
Updates cash spreadsheet, runs collection reports
Education and Experience Required
High school diploma
Knowledge of business and accounting processes usually obtained from an associate's degree, with a degree in Business Administration, Accounting, or Health Care Administration preferred
Minimum of one to three years of experience in a medical office setting
Knowledge, Skills, and Abilities
Knowledge of HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
Use of computer systems, software,
Effective communication abilities for phone contacts with insurance payers to resolve issues
Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds
Able to work in a team environment
Problem-solving skills to research and resolve discrepancies, denials, appeals, collections
Knowledge of accounting and bookkeeping procedures
Knowledge of medical terminology likely to be encountered in medical claims
Interested parties should forward their resume, salary requirements, and availability to us for review and consideration. We will conduct interviews in the next few weeks.
Family HealthCare offers a very competitive full benefits package including medical, dental, and life insurance, paid time off and holidays, and 401(k) plan.
Job Type: Full-time
Job Location:
Germantown, MD
Required education:
High school or equivalent
Required experience:
Medical Billing: 2 years
Required language:
Spanish, FArsii, Sign Language
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