Medical Biller Job Description, Key Duties and Responsibilities

By | September 1, 2023
Medical Biller job description, duties, tasks, and responsibilities
Medical Billers perform various duties including evaluating patients’ records. Image source:

This post presents in-depth information on the medical biller job description, to help you learn the key duties, tasks, and responsibilities of their work.

What Does a Medical Biller Do?

A medical biller is a trained professional, whose role in the hospital is to evaluate patients’ records by calculating medical charges, submitting claims, and attending to all patient inquiries made by insurance companies regarding medical claims made by patients.

The job description of a medical biller includes assisting in the facilitation of medical services to promote healthcare, Medicaid, medical insurance claims, and the privacy and confidentiality of non-public health records.

It’s his/her responsibility to not only interpret health care services into a billing claim, but also follow that claim to ensure that patients involved receive adequate compensation for all activities.

He/she facilitates optimization of revenue performance for the clients.

Medical billers use their expertise to review all documentations to determine appropriate fees for services at the right time in line with the acceptable standards of billing in the establishment.

As a facilitator between patients and the insurance company, these professionals make use of all information provided by the medical coders in compiling claims made by patients for submission to insurance companies for compensation.

Their duties also cover bringing together all items that make up the overall bill which may include entry charges, transmission, and posting of payment, and following up on patients and insurance companies.

In order to ensure accuracy in patients’ claims, they make it a necessity to communicate with doctors and other health care providers to confirm patient diagnoses and get further clarifications.

Other work billers at medical facilities do includes handling all billing processes associated with managing all outlined bills and yet to be billed revenue.

They create a good working relationship with patients and other members of staff in the organization in order to ensure communication of information regarding latest payment trends and accepted guidelines for compensation.

Medical Biller Job Description Example/Sample/Template

Shown below is an example of medical biller job description listing key duties, tasks, and responsibilities usually performed by people who work in that capacity in most medical facilities.

  • Showcase intensive information and understanding of billing, medical policies and procedures; and explain account balancing methods
  • Keep records of health care bad-debt cost report by documenting billings, health history, and personal information
  • Facilitate timely payment of outstanding balance for the welfare of hospital staff by establishing payroll deductions, and agitating for automatic transfers
  • Ensure adequate provision of coverage within the Patient Services space regularly
  • Facilitate correct knowledge entry of patients and their demographics, charge entry, and all posting receipts
  • Ensure proper balancing of all outstanding account balances together with collections and denials
  • Come up with best ways to deal with difficult and troublesome clients in an effort to resolve any queries or complaints that may arise
  • Compile all documentation discrepancies, coding schemes and inquiries to healthcare provider for detailed explanation and clarification

Medical Biller Job Description for Resume

A resume will be needed when applying for the job of a biller in a medical establishment. The job description sample given above can be employed in writing certain sections of the resume for the job, which includes the work history section.

Medical Biller Requirements: Skills, Knowledge, and Abilities for Career Success

Medical billers are usually expected to possess the following qualities to be qualified for the position by employers:

  • Have good understanding of different types of medical insurance carriers and their various claims
  • Skilled in carrying out successful follow-up efforts in processing denied claims
  • Exhibit good knowledge of medical terminologies, illnesses and complications
  • Use knowledge and reports as indicators for potential improvement areas
  • Good human relations skills