Dialysis Medical Biller

Job Description

Job Description

Insurance Biller – ESRD Healthcare Services

We are seeking a detail-oriented and experienced Insurance Biller to join our healthcare team. The Insurance Biller is responsible for ensuring accurate billing, claims processing, insurance verification, and reimbursement follow-up to maximize available coverage for ESRD patient care services provided by the facility.

Position Summary

The Insurance Biller provides support to patients and the facility by coordinating insurance coverage, processing claims, maintaining billing records, and ensuring timely reimbursement from Medicare, Medi-Cal, HMOs, and other insurance providers.

Qualifications

• High School Diploma or equivalent required
• Previous medical billing experience preferred, especially in dialysis or ESRD services
• Knowledge of Medicare, Medi-Cal, HMO, and secondary insurance billing processes
• Strong attention to detail and organizational skills
• Experience with EMR and healthcare billing systems preferred
• Ability to work independently and collaboratively with clinical and administrative staff

Essential Duties & Responsibilities

• Review and verify patient demographic, medical, and financial information entered by the secretary, including primary, secondary, and tertiary insurance coverage
• Collect and reconcile mid-month and end-of-month patient treatment worksheets
• Finalize patient treatments and medication records by reconciling EMR documentation with the billing system
• Match treatment log figures with treatment summary reports, EMR records, and medication daily sheets at month-end
• Provide treatment log copies to physicians’ offices as needed
• Coordinate with the Social Worker and secretary regarding insurance issues and authorizations to ensure all insurance information remains current and active
• Establish and maintain complete and accurate billing records for each patient
• Verify insurance eligibility and obtain documentation necessary to establish financial responsibility and payment arrangements
• Submit and process claims to Medicare, Medi-Cal, HMOs, and other insurance providers as primary, secondary, and tertiary payers
• Perform claim follow-up, rebills, appeals, payment posting, and reconciliation in a timely manner
• Prepare monthly reports for the accounting department and assist with yearly cost reports
• Adhere to corporate policies, procedures, and compliance standards
• Perform additional duties as assigned by the Billing Manager, Administrator, or Medical Director

Skills & Competencies

• Strong knowledge of medical billing and insurance regulations
• Excellent communication and problem-solving skills
• Ability to manage multiple centers and deadlines
• Proficiency in Microsoft Office and healthcare billing software
• Strong analytical and reconciliation skills

Schedule

* In person Monday - Friday (office hours)

Apply Today

Join our team and help support quality patient care through accurate and efficient healthcare billing services.