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Medical Biller Job Description: Duties, Skills and Salary

joseph cole

Updated on February 28, 2024

Medical Biller Job Description: Duties, Skills and Salary

joseph cole

Updated on February 28, 2024

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A Medical Biller keeps a healthcare organization’s revenue cycle moving, translating clinical services into accurate claims and following each one through to payment. Because billing errors directly affect cash flow and patient trust, hiring teams need a medical biller job description that spells out the exact duties, skills and experience the role requires, not just a generic list of tasks.

Use the template below to write your own posting, then adapt the responsibilities, salary range and skill requirements to match your organization’s size, specialty and billing software.

What Is a Medical Biller?

A Medical Biller prepares and submits medical claims to insurance companies, government payers and other third parties, then follows up until each claim is paid. The role sits at the center of revenue cycle management, so accuracy matters as much as speed. A Medical Biller who catches coding errors or missing documentation before a claim goes out saves the organization weeks of rework and appeals later.

Medical Biller Job Description Template

We are looking for a detail oriented Medical Biller to join our healthcare billing team. In this role, you will process claims accurately, resolve billing inquiries and help the organization collect reimbursement on time.

Key responsibilities:

  • Prepare and submit medical claims to insurance companies, Medicare, Medicaid and other payers, checking each claim for accuracy and compliance with billing regulations before it goes out.
  • Respond to billing inquiries from patients, insurance companies and providers, researching claim status and resolving discrepancies so payment is not delayed.
  • Verify insurance coverage, eligibility and benefits, and obtain prior authorizations for services that require them.
  • Assign accurate codes to diagnoses, procedures and services using ICD 10, CPT and HCPCS code sets.
  • Track the status of submitted claims, identify denials and rejections, and follow up with payers to appeal denied claims.
  • Generate patient statements and invoices, monitor accounts receivable and follow up on outstanding balances.
  • Maintain current knowledge of billing regulations, coding guidelines and payer policies, including HIPAA and CMS requirements.
  • Use electronic health record and billing software to keep patient demographic, insurance and billing records accurate and secure.
  • Produce reports on claim volumes, denial rates and reimbursement trends to flag areas for improvement.

Medical Biller Salary

Medical Biller pay varies by region, employer type and experience, but national data points to a median salary in the high 40,000 dollar range annually, with experienced billers and certified coders earning more. When you post your own opening, include a realistic local salary range rather than a national average. Candidates increasingly filter out postings without one, and a clear range shortens your time to fill.

Skills to Look for in a Medical Biller

Medical billing knowledge. A strong understanding of billing procedures, terminology and coding systems such as ICD 10, CPT and HCPCS is non negotiable for accurate claims.

Attention to detail. Small errors in a claim, a wrong code, a missing modifier, a mismatched date, are what turn into denials weeks later.

Analytical skills. The best billers spot patterns in denials and billing data instead of just processing claims one at a time.

Communication skills. Billers regularly explain charges to patients and coordinate with insurers and providers, so clarity and professionalism matter.

Problem solving ability. Chasing down a denied claim or resolving a billing dispute takes persistence and good judgment.

Computer proficiency. Comfort with EHR systems and billing software is a baseline requirement, not a nice to have.

Example KPIs for a Medical Biller

  • Claims submission accuracy, tracking the percentage of claims accepted on first submission.
  • Days in accounts receivable, measuring how long it takes to collect payment after a service is rendered.
  • Claim denial rate, tracking how often claims come back denied and why.
  • Clean claim rate, measuring the percentage of claims submitted without errors or missing information.

How Glider AI Helps You Hire Medical Billers Faster

Manually screening every resume for billing certifications, coding familiarity and attention to detail is slow and inconsistent. Glider AI’s skill assessment software lets you validate a candidate’s actual billing and coding knowledge before an interview, so recruiters only spend time with candidates who can already do the job. Pair that with Glider’s AI interview software to standardize first round screening across every candidate, and AI proctoring to keep remote assessments honest.

Frequently Asked Questions

What does a medical biller do day to day?
A medical biller prepares and submits claims, verifies insurance coverage, resolves billing inquiries, follows up on denied claims and keeps billing records accurate and current.

What skills should a medical biller have?
Look for billing and coding knowledge, attention to detail, analytical thinking, clear communication and comfort with EHR and billing software.

How much do medical billers make?
Pay depends on location, employer and experience, generally falling in the high 40,000 dollar range nationally, with certified and experienced billers earning more.

Is medical billing a good career?
It is a stable entry point into healthcare administration with room to grow into coding, revenue cycle management or billing supervisor roles, especially for candidates who pursue coding certification.

Hire Medical Billers Faster with Glider AI

A strong job description gets the right candidates to apply, but validating their billing knowledge is what gets the right hire in the seat. Explore Glider AI’s skill assessment software to test billing and coding knowledge before the interview, use AI interview software to standardize screening, and let AI recruiter tools handle sourcing and scheduling so your team can focus on final decisions.

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