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, e. Clinical 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