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Consensus Health LLC
Practice Biller
Career Insights for Medical Biller
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Based on New Jersey data
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What they do
A Medical Biller handles payments and financial transactions between health care providers and patients. Manages systems for mailing bills and collecting and recording payments. Works in healthcare facilities and hospitals.
$47,845 / year median in New Jersey
-2% projected decline
Job Description
Located in: Manasquan, New Jersey 08736 Under the general supervision of the Practice Manager/Supervisor, the Medical Biller is primarily responsible for checking eligibility and benefits, obtaining pre-authorizations, preparing and transmitting claims, posting payments, and following up on any unpaid claims or denials. Duties and Responsibilities The duties include, but are not limited to: Checking eligibility and benefits verification for treatments and procedures Obtaining pre-authorizations and referrals as required Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing Ensuring the timely billing of claims as to remain compliant with CMG policies and payor guidelines Reviewing patient bills for accuracy, completeness and obtain any missing information Identifying and billing secondary or tertiary insurances Address and correct claim issues that are assigned for practice resolution Update patient accounts to reflect accurate demographic and insurance information Answering all patient or insurance telephone inquiries pertaining to assigned accounts Setting up patient payment plans Work with MSO to accurately report accounts to the collections agency Performs miscellaneous job-related duties as assigned Qualifications or Education, Training and Experience HS Diploma or GED required Minimum of 3-5 years of experience working as a medical biller, preferably in a patient practice setting Experience with variety of insurances EMR experience required, Athena preferred Knowledge and Skills/Expected Competencies Knowledge of