Position Overview:
The Medical Biller at Tarlani Healthcare is responsible for accurately and efficiently processing billing and reimbursement activities related to the provision of medical supplies and equipment. The Medical Biller plays a critical role in ensuring timely and accurate invoicing, claims submission, and revenue cycle management to support the financial health and sustainability of the organization.
Qualifications:
- High school diploma or equivalent; associate or bachelor’s degree in healthcare administration, finance, or related field preferred.
- Previous experience in medical billing, coding, or revenue cycle management preferred.
- Strong knowledge of medical billing and coding principles, regulations, and reimbursement methodologies.
- Excellent attention to detail and accuracy in data entry and record keeping.
- Strong analytical and problem-solving skills, with the ability to reconcile accounts and resolve billing discrepancies.
- Effective communication skills, both verbal and written, with the ability to interact professionally with patients, insurance companies, and team members.
Key Responsibilities:
Claims Processing: Prepare and submit claims to insurance companies, government payers, and other third-party payers for reimbursement of medical supply and equipment services rendered.
Billing: Generate and distribute invoices to customers for products and services provided, ensuring accuracy of billing information and adherence to billing guidelines and regulations.
Insurance Verification: Verify patients' insurance coverage and eligibility, obtaining authorizations and pre-certifications as needed to facilitate claims processing and reimbursement.
Coding: Assign appropriate medical codes (e.g., HCPCS, CPT) to products and services provided, ensuring compliance with coding guidelines and regulations.
Payment Posting: Record and reconcile payments received from insurance companies, patients, and other payers, applying payments to patient accounts and resolving any discrepancies or denials.
Accounts Receivable Management: Monitor accounts receivable aging reports, follow up on outstanding claims and unpaid invoices, and pursue collections activities as necessary to minimize delinquencies and maximize revenue.
Reporting: Generate and analyze billing and financial reports to track key performance indicators (KPIs), identify trends, and support decision-making and strategic planning.
Job Type: Full-time
Pay: $20.00 - $25.00 per hour
Expected hours: 40 per week
Benefits:
- 401(k)
- Dental insurance
- Employee assistance program
- Health insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
Work setting:
Work Location: In person