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Medical Biller

Ahmedabad, Gujarat, India

We are seeking a detail-oriented and highly organized individual to join our team as a Medical Biller. As a Medical Biller, you will be responsible for accurately processing and submitting medical claims to insurance companies and other third-party payers. Your role will involve coding procedures and diagnoses, verifying insurance coverage, and ensuring timely reimbursement. Your attention to detail, knowledge of medical coding systems, and ability to navigate insurance procedures will be crucial to the success of our billing operations.
  • High school diploma or equivalent (Associate's degree in healthcare administration or related field preferred). 
  • Previous experience as a Medical Biller or in a similar role. 
  • Strong knowledge of medical coding systems (CPT, ICD) and insurance procedures. 

  • Proficiency in using billing and medical software systems. 
  • Excellent attention to detail and ability to work accurately under pressure. 
  • Strong problem-solving and analytical skills. 
  • Effective communication and interpersonal skills. 
  • Ability to maintain confidentiality and adhere to ethical standards. 

  • Willingness to adapt and learn in a fast-paced and evolving healthcare environment. 
  • Note: This job description provides a general overview of the responsibilities and qualifications typically associated with the role of a Medical Biller. Actual job duties and requirements may vary depending on the specific organization and healthcare setting. 

  • Claims Processing: 
 
Review medical records and assign appropriate codes (e.g., CPT, ICD) to procedures and diagnoses. 

Ensure accurate and complete documentation for each claim submission. 
Verify insurance coverage and eligibility for patients. 
Prepare and submit claims to insurance companies and other third-party payers. 
 
  • Billing and Invoicing: 

 
Generate accurate and detailed billing statements for patients. 
Track and monitor the status of submitted claims. 
Follow up on denials, rejections, and unpaid claims. 
Initiate collection efforts or establish payment plans for outstanding balances. 
 
  • Insurance Verification: 
 
Communicate with insurance companies to verify coverage and obtain pre-authorization for procedures. 
Gather necessary information and documentation for billing purposes. 

Ensure compliance with insurance policies and guidelines. 
 
  • Payment Processing: 
 
Reconcile payments received with billed amounts. 

Update patient accounts and records with payment information. 
Investigate and resolve discrepancies or unpaid balances. 
Process refunds or adjustments as necessary. 
 
  • Compliance and Documentation: 

 
Stay up to date with relevant healthcare laws, regulations, and coding guidelines. 
Ensure compliance with HIPAA regulations and maintain patient privacy and confidentiality. 
Maintain accurate and organized records of billed services, claims, payments, and communication. 
 
 
 
 
  • Communication and Customer Service: 
 

Respond to inquiries from patients, insurance companies, and healthcare providers regarding billing issues, insurance coverage, and payment options. 
Provide excellent customer service while addressing concerns and resolving billing-related matters. 
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