Billing Staff

Position : Biller

Department : Clinic Management

Reports to : Department Supervisor

Created : 4 / 16 / 2025

Job Summary

We are seeking an experienced and detail-oriented Medical Biller to join our clinic's administrative team. The ideal candidate will play a vital role in managing the billing and reimbursement process, ensuring accuracy in coding, timely submission of claims, and effective resolution of billing discrepancies. This position is essential to maintaining financial health and compliance of our company.

Essential Duties and Responsibilities

• Review and accurately re-code medical procedures, diagnoses, and treatments based on healthcare regulations (e.g., ICD-10, CPT, HCPCS).
• Prepare and submit insurance claims to payers, ensuring compliance with payer-specific requirements and timelines.
• Monitor and follow up on unpaid or denied claims to ensure prompt resolution.
• Communicate with insurance companies, patients, and healthcare providers to address billing inquiries and resolve discrepancies.
• Maintain detailed records of billing activities and ensure patient confidentiality in accordance with HIPAA regulations.
• Stay updated on changes to coding guidelines, insurance policies, and regulatory requirements.
• Assist with patient billing inquiries, including setting up payment plans and clarifying invoices.

Qualifications

Working Conditions