Medical Billing Representative Responsibilities and Duties

Balance electronically submitted claims everyday.

Oversee outstanding balances and ensure clients pay as billed.

Prepare invoices and reconcile billing with accounts receivables.

Assure quality assurance and billing audit.

Assess unpaid claims and research denials for timely payment and cash flow.

Get enquiries or complaints on patient accounts from patients, insurance carriers and employers.

Discuss with patients on financial obligations’ account balances.

Apply payments and adjustments to patient accounts.

Adhere to insurance payers for appeals and errors processing.

Assess and update patient and insurance demographics.

Evaluate management practice claim formats for accuracy.

Understand applicable coding guidelines and state and federal care guidelines.

Assess and resolve denied claims on EDI reports.

Notify management on trends or denials.

Generate working medical credit balance reports.

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