Job Role Description

Design > Medical Biller/Coder

Salary National Average

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39720.0000 43160.0000 47720.0000

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Short Description:

Review patient bills for accuracy and completeness and obtain any missing information. Submit technical or professional medical claims to insurance companies, including physician offices, hospitals, nursing homes, or other healthcare facilities. Possess strong knowledge of insurance guidelines. Follow up on unpaid claims within the standard billing cycle timeframe. Call insurance companies regarding any discrepancy in payments if necessary. Identify and bill secondary or tertiary insurance. Answer patient or insurance telephone inquiries about assigned accounts.

Duties / Responsibilities:

  • Verify the accuracy of billing data and revise any errors.
  • Operate typing, adding, calculating, or billing machines.
  • Prepare itemized statements, bills, or invoices and record amounts due for items purchased or services rendered.
  • Review documents such as purchase orders, sales tickets, charge slips, or hospital records to compute fees or charges due.
  • Perform bookkeeping work, including posting data or keeping other records concerning costs of goods or services or the shipment of goods.
  • Keep records of invoices and support documents.
  • Resolve discrepancies in accounting records.
  • Type billing documents, shipping labels, credit memorandums, and credit forms.
  • Contact customers to obtain or relay account information.
  • Compute credit terms, discounts, shipment charges, or rates for goods or services to complete billing documents.

Skills / Requirements / Qualifications

  • Active Listening: Giving full attention to what other people are saying, taking time to understand the points made, asking questions as appropriate, and not interrupting at inappropriate times.
  • Reading Comprehension: Understanding written sentences and paragraphs in work-related documents.
  • Speaking: Talking to others to convey information effectively.
  • Critical Thinking: Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems.
  • Social Perceptiveness: Being aware of others' reactions and understanding why they react as they do.
  • Time Management: Managing one's own time and the time of others.
  • Monitoring: Monitoring/assessing the performance of yourself, other individuals, or organizations to make improvements or take corrective action.
  • Complex Problem Solving: Identifying complex problems and reviewing related information to develop and evaluate options and implement solutions.
  • Judgment and Decision Making: Considering the costs and benefits of potential actions to choose the most appropriate one.
  • Service Orientation: Actively looking for ways to help people.

Job Zones

  • Education: Most occupations in this zone require training in vocational schools, related on-the-job experience, or an associate's degree.
  • Related Experience: Previous work-related skill, knowledge, or experience is required for these occupations.
  • Job Training: Employees in these occupations usually need one or two years of on-the-job experience and informal training with experienced workers. A recognized apprenticeship program may be associated with these occupations.
  • Job Zone Examples: These occupations usually involve communication and organizational skills to coordinate, supervise, manage, or train others to accomplish goals. Examples include food service managers, electricians, agricultural technicians, legal secretaries, interviewers, and insurance sales agents.
  • Specific Vocational Preparation in years: 1-2 years of preparation (6.0 to < 7.0)

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