Medical Billing specialists are responsible for accurately billing patients and third-party payers (such as insurance companies) for medical services provided by healthcare providers. They navigate through a maze of codes, regulations, and patient records to ensure that services rendered are properly documented and billed for reimbursement.

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Medical Billing Job Responsibilities:

Compiles and maintains current and accurate data for all providers
Completes provider credentialing and re-credentialing applications; monitors applications and follows-up as needed
Maintains copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers.
Maintains corporate provider contract files
Maintains knowledge of current health plan and agency requirements for credentialing providers
Tracks license and certification expirations for all providers to ensure timely renewals
Ensures practice addresses are current with health plans, agencies and other entities
Audits health plan directories for current and accurate provider information
Implementing new provider with EHR (Care Cloud, Office Ally etc.)
Handling all kind of enrollment for new and existing providers (EDI, ERA and EFT)
Creating and managing web portals for all the payers