Use this Medical Billing job description template to attract skilled billing professionals who can manage patient accounts, process insurance claims, and ensure accurate medical billing operations.
Medical Billing is the process of submitting, tracking, and managing health insurance claims to ensure healthcare providers receive timely payments. Medical Billers are responsible for converting healthcare services into billable claims, verifying patient insurance, and following up on unpaid or denied claims.
A Medical Billing professional handles the financial and administrative side of healthcare billing. Their key responsibilities include:
- Preparing and submitting insurance claims accurately and on time.
- Verifying patient insurance coverage and eligibility.
- Reviewing medical records and coding information for billing accuracy.
- Following up on unpaid, rejected, or denied claims.
- Managing patient billing inquiries and processing payments.
Medical Billing Job Description Template
We are looking for a detail-oriented Medical Billing professional to join our healthcare team. The ideal candidate will be responsible for preparing insurance claims, verifying patient information, and ensuring accurate billing processes. If you have experience in medical billing, insurance verification, and claim resolution, we’d love to hear from you!
Roles & Responsibilities
- Prepare and submit clean claims to insurance companies (electronic and paper).
- Verify patient insurance coverage, copays, and benefits.
- Review and correct claim errors to prevent rejections.
- Follow up on unpaid, denied, or underpaid claims promptly.
- Post payments, adjustments, and reconcile billing accounts.
- Maintain accurate patient billing records and documentation.
- Assist patients with billing inquiries, payment plans, and statements.
- Ensure compliance with HIPAA and healthcare billing regulations.
- Work closely with medical coders to ensure accurate coding and documentation.
- Generate billing reports and assist in financial audits.
Requirements & Skills
- Proven experience in medical billing or healthcare administration.
- Familiarity with ICD-10, CPT, and HCPCS codes (coding knowledge is a plus).
- Strong understanding of insurance claim procedures and reimbursement processes.
- Experience with medical billing software (e.g., Kareo, Athena, DrChrono, Epic).
- Excellent attention to detail and accuracy.
- Strong organizational and communication skills.
- Ability to work independently and manage multiple billing tasks.
- High school diploma required; certification in medical billing is a plus.
Who do Medical Billing professionals report to?
They typically report to:
- Billing Manager
- Revenue Cycle Manager
- Practice Manager
- Finance Manager
Post this on job boards and career pages to find candidates experienced in healthcare billing, insurance verification, and revenue cycle management. Feel free to customize the job duties and requirements based on your organization’s needs. Similar job titles include Medical Biller, Billing Specialist, and Revenue Cycle Specialist.
How to Assess Medical Billing Skills Effectively
Candidates may list medical billing experience on their resumes, but assessing their actual ability to manage claims, verify insurance details, and ensure accurate billing before the interview is crucial. A structured medical billing assessment ensures you hire professionals who can reduce claim denials, maintain compliance, and support smooth revenue cycle operations.
Here’s how you can assess medical billing proficiency effectively with WeCP:
- Insurance Verification & Eligibility Checks – Test candidates on their ability to verify patient insurance details, coverage limits, and authorization requirements.
- Claims Processing & Submission – Evaluate their skills in preparing, coding, and submitting claims accurately to insurance companies.
- Denial Management & Follow-Up – Assess their capability to track denied claims, resolve discrepancies, and re-submit claims efficiently.
- Medical Coding Knowledge – Check their understanding of ICD, CPT, and HCPCS codes to ensure accurate claim preparation.
- Compliance & Documentation Accuracy – Ensure they understand HIPAA regulations, maintain proper documentation, and protect patient data.
With WeCP’s Medical Billing assessments, you can efficiently filter out underqualified candidates, streamline the hiring process, and ensure high-quality hires who can enhance billing accuracy, accelerate reimbursements, and strengthen your revenue cycle management.
