Medical Bill Processor

Medical Bill Processor

Requirements

• High School diploma or GED required
• One (1) year of general office experience or equivalent combination of education and experience required
• Knowledge of medical terminology preferred
• Excellent oral and written communication
• PC literate, including Microsoft Office products
• Analytical and interpretive skills
• Strong organizational skills
• Good interpersonal skills
• Ability to work in a team environment
• Ability to meet or exceed Performance Competencies

Responsibilities

• Keys pre-coded billing data into the system
• Identifies and forwards complex bills to claims examiners
• Codes provider bills in accordance with claims management system notes and state guidelines
• Follows workers compensation/auto guidelines to evaluate the services
• Compares qualifications of service provider with service provided
• Involved in system maintenance/file maintenance and interface with IT department
• Assists in account batching and distribution of incoming and outgoing mail
• Answers customer service calls from providers, clients and claims examiners

Preferred Qualifications

• Knowledge of medical terminology preferred