Medical Biller
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Job Description
Experience: 2 Years
Location: QATAR (Local Candidates Preferred)
KEY ROLE ACCOUNTABILITIES
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Releases completed claims for submission.
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Requests additional information from clinical areas in response to claims denials or inquiries by insurance
providers.
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Prepares and processes claims based on claims work lists for submission to insurance providers or TPAs.
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Verifies claims for accuracy and completeness of information.
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Communicates with clinical areas to resolve any claim edits issues.
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Ensures that claim formats concur with insurance provider requirements.
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Prepares clean claims for electronic and/or manual submission.
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Accesses Cerner Charge Services to produce and submit claims.
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Follows up on submitted claims to ensure timely payment processing.
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Contacts insurance providers or TPAs on as needed basis.
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Identifies unpaid and partially paid claims and takes the necessary steps for appeal or resubmission.
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Processes claim re-submission as required.
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Posts insurance payments on the system.
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Refers patient related liabilities to the AR Section for processing.
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Escalates unresolved claims related issues to the Supervisor - Patient Billing and Revenue Reconciliation
for further action.
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Documents events and interactions using electronic and manual systems.
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Maintains billing records in accordance with internal standards.
Mandatory Requirement:
2 years’ of experience in medical billing using an electronic billing and insurance system
Preferred Certification: Medical billing certificate or other Revenue Cycle Certificate
Employment Type
Full Time
