Medical Biller

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 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 Details

Experience : 2 Years

Location : QATAR (Local Candidates Preferred)

Employment Type : Full Time

Vacancy : 1

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