Genuine Health Group
Florida, NY
Summary
The Medical Biller is responsible for ensuring all providers’ encounters are coded, billed and submitted in a timely manner to insurance companies, while also monitoring and resolving any rejections or denials through company billing portals. This position is essential to ensuring clean claim submission, reducing delays in reimbursement, and supporting compliance with payer and CMS guidelines.
Review, verify and submit provider encounters for accuracy in coding and documentation.
Ensure timely and clean claim submission through appropriated billing software.
Correct and resubmit rejected claims with proper supporting documentation or edits.
Communicate with providers and clinical teams as needed to clarify documentation or encounter issues.
Work closely with internal MRA coders to resolve discrepancies in diagnosis or procedures codes.
Maintain billing logs and status update to ensure all encounters are accounted for and processed.
Identify trends in denials or...