Medical Biller

Experience: 2 Years

Location: QATAR (Local Candidates Preferred)

KEY ROLE ACCOUNTABILITIES

· Releases completed claims for submission.

· Requests additional information from clinical areas in response to claims denials or inquiries by insurance

providers.

· Prepares and processes claims based on claims work lists for submission to insurance providers or TPAs.

· Verifies claims for accuracy and completeness of information.

· Communicates with clinical areas to resolve any claim edits issues.

· Ensures that claim formats concur with insurance provider requirements.

· Prepares clean claims for electronic and/or manual submission.

· Accesses Cerner Charge Services to produce and submit claims.

· Follows up on submitted claims to ensure timely payment processing.

· Contacts insurance providers or TPAs on as needed basis.

· Identifies unpaid and partially paid claims and takes the necessary steps for appeal or resubmission.

· Processes claim re-submission as required.

· Posts insurance payments on the system.

· Refers patient related liabilities to the AR Section for processing.

· Escalates unresolved claims related issues to the Supervisor - Patient Billing and Revenue Reconciliation

for further action.

· Documents events and interactions using electronic and manual systems.

· Maintains billing records in accordance with internal standards.

Mandatory Requirement:
2 years’ of experience in medical billing using an electronic billing and insurance system
Preferred Certification: Medical billing certificate or other Revenue Cycle Certificate

Key Skills
EMR Systems,Medical Collection,Athenahealth,eClinicalWorks,ICD-10,Medical Coding,Medical office experience,ICD-9,Medical Billing,Medical Terminology,CPT Coding,Medicare
Employment Type : Full Time
Experience: years
Vacancy: 1