A medical biller is a healthcare administrative professional who manages the revenue cycle. They convert medical procedures and diagnoses into billable claims, submit them to insurance companies, and ensure healthcare providers are properly and timely reimbursed. [1, 2, 3]Core Responsibilities
- Claim Processing: Submit accurate "clean claims" to insurance payers and monitor reimbursement statuses.
- Verification: Confirm patient insurance coverage, deductibles, and eligibility prior to their appointment.
- Denial Management: Follow up on rejected or unpaid claims, research discrepancies, and draft appeals.
- Payment Posting & Reconciliation: Post payments from insurers and patients to the appropriate accounts.
- Patient Invoicing: Generate patient statements for any remaining balances and set up payment arrangements. [1, 2, 3, 4, 5, 6, 7]
Key Qualifications & Skills
- Technical Proficiency: Experience with Electronic Health Record (EHR) and Practice Management systems.
- Knowledge Base: Strong understanding of medical terminology, ICD-10/CPT coding, and payer guidelines.
- Soft Skills: High attention to detail, strong problem-solving skills, and the ability to clearly explain billing details to patients.
Pay: ₹8,000.00 - ₹15,000.00 per month
Benefits:
- Flexible schedule
- Paid sick time
- Paid time off
- Provident Fund
Work Location: In person
