Medical Coder

Role & responsibilities

• Liaise between healthcare providers, patients, and insurance companies to ensure accurate and streamlined billing operations.
• The primary duties and responsibilities of Medical Billers are as follows:
• Review patient bills for accuracy and completeness and resolve any discrepancies.
• Submit claims to insurance companies, ensuring each claim is accurate and complete for prompt payment.
• Follow up on unpaid claims and disputed claims.
• Check each insurance payment for accuracy and compliance with contract discount.
• Communicate with insurance companies regarding any discrepancy in payments if necessary.
• Identify and bill secondary or tertiary insurances.
• Review accounts for insurance of patient follow-up.
• Respond to inquiries from insurance companies, patients and providers.
• Perform various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers.
• Process patient statements, answer patient inquiries on account status and charges, and resolve issues as necessary.
• Maintain patient confidentiality and adhere to health insurance portability and accountability act standards.
• Keep informed of changes in billing regulations and procedures for all third-party payers.
• HST EMR experience preferred.
• Needs to have experience in surgical coding and billing.