• Certificate/diploma or associate degree to work in medical billing and coding

A Medical Biller, or Insurance Billing Specialist, is responsible for organizing patient medical costs and sending invoices to collect payment from patients and their insurers. Their duties include calling patients to discuss payment and develop reasonable payment plans, entering patient data into administrative systems and recording information about outstanding claims.

• Perform posting charges
• Perform completion of claims to payers
• Conduct duties in a professional and timely fashion
• Submit billing data to the appropriate insurance providers
• Process claims
• Resolve denial instances
• Achieve maximum reimbursement for services provided
• Deploy, maintain and report on various programs
• Do Medicare reviews
• Do Medi-Cal reviews
• Conduct audits

Healthcare Team:

Medical billers will work either in community or hospital practice under physician, nurse, or hospital team. Their role will be correctly bill for services. They can play a role in helping patients navigate insurance claims, payment plans, and financing.