Job Purpose

The Medical Billing Representative posts payments received from insurance companies, cash payments, and payment plans to the patient’s accounts; enters adjustments, write-offs, and reconciles the patient’s accounts. The Medical Billing Representative reviews claims for non‑payment, posts the zero payment to the patient’s account, writes off the unpaid procedures and claims, resubmits claims with corrected codes, submits secondary claims, and mails statements for co‑pays and balances due on the account. The Billing Specialist works reports, processes refunds and check requests; does account clean‑up, and serves as a resource to the medical practices to help improve billing processes and accuracy. Calls resident physicians for confirmation.

Specific Duties and Responsibilities

• Post cash payments, primary & secondary insurance payments, and payment plans
• Appeal denied services to insurance agencies
• Write‑off u...