MG Biller

Summary:

prepares and sends invoices tracks payments and resolves billing discrepancies for products or services. This role involves ensuring accurate billing managing accounts receivable and providing customer service related to billing inquiries.

KEY RESPONSIBILITIES:

� Compile medical bills based on the work of medical coders.

� Ensuring medical bills are accurate submitting medical bills to insurance companies and handle problematic claims

� Maintain third party billing records research and analyze delinquent third-party payer claims involved in the resolution of problems such as reimbursement and then adjust and resubmit claims. Follow up on submitted claims and patient billing.

� Research and analyze delinquent third-party payer claims such as Medicare Medicaid and Commercial and Non-commercial carriers; verify patient eligibility adjust and submit claims as necessary. Respond to all inquiries from third-party payers in a timely manner. Respond to inquiries from individual insurance carriers (Commercial and Non-commercial) as well as patient calls with specific insurance questions.

� Accurately prepare and submit invoices track payments and resolve billing issues.

� Handle customer inquiries maintain accurate records and may be involved in collections and payment plan management.

� Within the medical billing context billers focus on processing insurance claims verifying patient eligibility and appealing denied claims

� Respond to inquiries from patient/third-party payers; explain insurance coverage to patients research problems and correct errors by utilizing accurate ICD 9 and CPT codes. � Maintain and update patient demographic information for proper billing to Insurance carriers as necessary.

� Follow up on submitted claims monitor unpaid claim reports; initiate tracers; resubmit claims as necessary.

� Post and initiate corrective action for all rejections from checks as well as correspondence from different insurance carriers.

REQUIRED QUALIFICATIONS:

� Strong organizational and communication skills

� Proficiency in computer applications and billing software.

� Knowledge in third-party medical billing with 2 years' experience in specialty services preferred.

� Solid working knowledge of third-party billing ICD 10 and CPT codes Excellent interpersonal and communication skills high level of organizational skills; self-motivated; strong problem-solving skills; the ability to exercise independent judgment based upon established policies protocols or practices

EDUCATION:

� A high school diploma or equivalent is required followed by a certificate or associate's degree in medical billing and coding.

Brown University Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race color religion sex national origin age ethnicity sexual orientation ancestry genetics gender identity or expression disability protected veteran or marital status. Brown University Health is a VEVRAA Federal Contractor.

Location: Brown Health Medical Group/USA:

Work Type: Full Time

Shift: Shift 1

Union: Non-Union