Under direct supervision, the Insurance Biller is responsible for all aspects of billing and collections activities including reviewing and auditing codes and verifying insurance.
Reviews claim scrubber and resolves claim edits.
Maintains payor-related items, such as EFTs and Payor IDs for 835s.
Verifies insurance eligibility and authorization.
Documents detailed notes including action items taken, when appropriate.
Responds timely and accurately to all incoming correspondence and inquiries from payers, patients and other departments.
Elevates issues as appropriate to Supervisor.
Assists with orientation and training of new employees/ volunteers, as assigned.
Department Specific Competencies
High School Diploma/GED or Higher Education N/A
Number of Years Experience Type of Experience
1 One year biller/collection experience in medical office or hospital
License / Certification Requirements