Medicare biller positions are available throughout the health care industry, namely in organizations that bill patients through insurance companies. The requirements for these jobs usually include a high school diploma or equivalent, as well as some relevant experience in the medical insurance industry. Although generally not required, some positions may give preference to applicants with a bachelor’s degree in fields such as finance, business management, and health care administration. This job also requires proficiency with basic computer programs and excellent communication skills, as well as knowledge of the Medicare guidelines and the ability to read and interpret them accurately. Additionally, some companies require specific training in topics such as medical coding and terminology.
On a day-to-day basis, this position mostly consists of dealing with billing details and claims for patients through the Medicare billing system. This includes researching and analyzing coding errors, dealing with billing document issues, reviewing denials, and executing appeals. This involves heavy use of software such as Microsoft Outlook and Excel, but in many cases, it also requires the ability to use custom software for their company’s billing protocols. Although Medicare billers often work as part of a team, the ability to work independently with minimal supervision is also necessary.
Hours for the job vary based on the needs of the employer, but it is common to find openings requiring work during regular business hours. Aside from tasks such as spending long periods on the computer and moving around the office, minimal physical requirements exist for this position. The work is generally done in an indoor office or hospital environment.
Medicare Biller 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.