Billers in medical offices produce and submit claims to health insurance companies, government benefits programs, and patients to receive payment for services rendered by a health care provider. Their range of duties often depends on the complexity and quantity of claims to generate; in larger organizations, billers may spend the majority of their time producing and submitting claims. In smaller organizations, such as solo practitioners' offices, they may also review unpaid and denied claims, handle collections for unpaid balances, and answer billing questions. They may also be required to verify patients' insurance coverage and perform other tasks related to payment for services.
The medical office setting may be private practice or an outpatient clinic, nursing home facility, or similar setting. Those in this position must pay close attention to detail and follow directions precisely, and should also be familiar with accounting practices and health insurance plans. This position also requires accurate data entry skills and at least a basic understanding of medical terminology, disease classifications, and procedures.
Billers in medical offices spend the majority of their time at a desk and computer, and a significant amount of time may be spent using the telephone to communicate with insurance companies, health care providers, and patients. A high school diploma is often a minimum requirement for this position, and applicants who have an associate's degree or technical training in the medical field may be preferred by some employers.
Biller, Medical Office Tasks
Verify accuracy of billing data and revise any errors.
Review and retain medical records in order to compute fees and charges due.
Prepare bills or invoices, and record amount due for medical procedures and services.
Contact patients in order to obtain or relay account information.