US Medical Biller Job Description Template
The US Medical Biller will be responsible for accurately processing and submitting medical claims to insurance companies, ensuring compliance with current regulations and coding standards. The role involves communication with healthcare providers, patients, and insurers to resolve billing issues and secure payments.
Responsibilities
- Prepare and submit medical claims to insurance companies
- Review and verify coding accuracy based on medical records
- Communicate with healthcare providers to obtain missing information
- Follow up on unpaid or denied claims to ensure timely resolution
- Provide billing information and support to patients and providers
- Maintain up-to-date knowledge of billing regulations and coding standards
- Generate billing reports and analyze data for discrepancies
- Ensure compliance with HIPAA and other confidentiality regulations
Qualifications
- High school diploma or GED
- Certification in medical billing or coding (CPC, CMRS, etc.)
- Minimum 1-2 years of medical billing experience
- Knowledge of CPT, ICD-10, and HCPCS coding
- Familiarity with medical terminology and healthcare practices
- Strong problem-solving and analytical skills
- Excellent communication and interpersonal abilities
- Ability to work independently and manage time effectively
Skills
- Medical billing software (e.g., Kareo, AdvancedMD, NextGen)
- ICD-10 and CPT coding
- Claims processing
- Insurance verification
- HIPAA compliance
- Microsoft Office (Excel, Word)
- Customer service
- Data entry
Frequently Asked Questions
A US Medical Biller is responsible for processing patient data, insurance claims, and payments in healthcare settings. They ensure that medical services are billed correctly and payments are collected efficiently, working closely with healthcare providers and insurance companies to align on the appropriate billing codes.
To become a US Medical Biller, individuals typically need a high school diploma or equivalent, followed by specialized training in medical billing, which can be obtained through vocational schools or community colleges. Certification in medical billing, such as the Certified Professional Biller (CPB), can enhance job prospects.
The average salary for a US Medical Biller varies depending on experience, education, and location. On average, a medical biller earns a competitive salary, which can increase with advanced certifications or specialization in certain medical fields. Additional benefits may include health insurance and retirement plans.
Qualifications for a US Medical Biller typically include a high school diploma and specialized training in medical billing procedures. Certification such as the Certified Professional Biller (CPB) credential is highly recommended. Proficiency in billing software and a good understanding of medical terminology are also necessary.
A US Medical Biller requires strong analytical and organizational skills, attention to detail, proficiency in medical billing software, and a thorough understanding of medical terminology and insurance policies. Responsibilities include preparing, submitting, and following up on claims to ensure reimbursement for medical services.