Job Purpose

The Medical Billing Representative posts payments received from insurance companies, cash payments, and payment plans to the patient's accounts; enters adjustments, write-offs, and reconciles the patient’s accounts.

The Medical Billing Representative reviews claims for non-payment, posts the zero payment to the patient’s account and writes off the unpaid procedures and claims; resubmits claims with corrected codes, submits secondary claims, and mails statements for co‑pays and balances due on the account.

The Billing Specialist works reports, processes refunds and check requests; does account clean up, and serves as a resource to the medical practices to help improve billing processes and accuracy. Calls resident physicians for confirmation.

Specific Duties and Responsibilities

• Post cash payments, primary & secondary insurance payments, and payment plans
• Appeal denied services to insurance agencies
• ...