Medical Biller

Description:

Job Summary

Responsible for the accurate medical claims processing, insurance verifications, and payment posting while ensuring maximum reimbursement through proper billing practices.

· Submit clean claims to insurance companies and follow up on unpaid claims

· Verify patient insurance eligibility and benefits

· Process and post payments from insurance companies and patients

· Review and appeal denied claims

· Monitor accounts receivable and work aging reports

· Ensure compliance with billing regulations and coding guidelines

· Handle patient billing inquiries and resolve discrepancies

· Maintain accurate patient records and billing documentation

· Manages time to complete work in a timely manner and be a team player

· Work collaboratively with clinical staff to ensure proper documentation

· Strong attention to detail and organizational skills

Requirements:

· High School graduate or equivalent, associate’s degree in healthcare administration or related field (preferred)

· 2+ years of medical billing experience

· Medical Billing Certification (CPC, CBCS, or similar) (preferred)

· Strong knowledge of CPT, ICD-10, and HCPCS coding (preferred)

Knowledge of specialty-specific billing requirements (preferred)

· Prior experience in healthcare collections

· Experience with Centricity AKA Athena Practice, eClinical Works, Tebra, etc. preferred

· Proficiency in medical billing software and EMR systems

· Understanding of insurance guidelines and regulations

· Knowledge of Medicare, Medicaid, and commercial insurance billing

· Excellent attention to detail and organizational skills

· Strong written and verbal communication abilities