Professional Experience: Medical Biller Specialist (6 months)
Patient Registration and Insurance Verification:
-Review new patient registrations in the practice management system
-Verify patient insurance coverage, benefits, and eligibility through the Availity payer portal
-Update patient demographic and insurance information in the system
-Scan and attach copies of insurance cards to patient records
Claims Submission:
-Review superbills or charge tickets from providers and ensure all necessary coding is complete
-Submit clean claims to the appropriate insurance payers through the Tebra clearinghouse
-Monitor claim acceptance and rejection reports from the clearinghouse
-Follow up on any denied or rejected claims to understand reason codes and resubmit
Payment Posting and Account Reconciliation:
-Process and post all insurance and patient payments received that day
-Apply contractual adjustments and write-offs per payer fee schedules in Tebra-Generate and send patient statements for outstanding balances
-Resolve any discrepancies between payments received and expected amounts
Collections and Follow-Up:
-Review accounts with unpaid patient balances and make outreach calls
-Set up payment plans with patients as needed
Reporting and Documentation:
-Run daily, weekly, and monthly reconciliation reports in Tebra-File all documentation (EOBs, remittance advices, etc.) in the appropriate patient records-Maintain organized electronic and physical filing systems
-Communicate any billing or practice issues to the office manager
Continuous Education:
-Review updates to payer policies, coding changes, and billing regulations
-Participate in ongoing training for new Availity, Tebra, United Healthcare and Navinet features
-Attend any relevant industry conferences or webinars
Professional Experience: Tax Preparer (2 years)
-Prepared and filed over 500 individual and small business tax returns
-Ensured compliance with federal and state tax regulations
-Maintained up-to-date knowledge of tax code changes and IRS regulations
Skills:
-US individual and small business tax preparation
-Efficient use of
-Experience with state tax agency websites and online filing systems
-Accurately completes and submits federal and state tax forms
-QuickBooks Online and QuickBooks Desktop
-Attention to detail and accuracy
-Client communication and confidentiality
-Time management and organization
Education and Training:
-Completed Udemy courses of Robert Steele CPA, regarding comprehensive problem and diagnostics for 1120, 1120s and 1065.
-Completed online courses in bookkeeping fundamentals
-Self-study in bookkeeping and accounting principles
Software Proficiency:
-Professional tax preparation software (e.g., TaxAct, Drake, ProSeries, Proconnect and Lacerte)
-QuickBooks Online: Competent in navigating the interface, creating and managing company files, and performing basic bookkeeping tasks
-QuickBooks Desktop: Familiar with core functions and basic data entry processes
-Microsoft Office Suite (Excel, Word, Outlook)
-Familiar with Taxdome, Salesforce, Dropbox, SPBinder
Experience: 1 - 2 years
Experience: 6 months - 1 year
Experience: 6 months - 1 year
Experience: Less than 6 months
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