Job Title: Medical Biller
Location: Remote Position
Job Type: Full-time
Job Summary:
We are seeking a dedicated and detail-oriented Medical Biller to join our team. The Medical Biller will be responsible for processing and managing patient billing and claims, ensuring accurate and timely submission of claims to insurance providers, and working with patients and insurance companies to resolve any billing discrepancies.
Key Responsibilities:
Accurately code and submit medical claims to insurance companies, Medicare, and Medicaid using the appropriate codes (ICD-10, CPT, HCPCS). Review Medical Document to ensure proper coding.
Follow up on outstanding claims, denials, and payments to ensure timely reimbursement.
Work with healthcare providers, insurance companies, and patients to resolve billing issues.
Maintain patient confidentiality and comply with HIPAA regulations.
Review patient statements and provide clarification on billing details as needed.
Ensure proper billing procedures are followed, and claims are submitted within required timeframes.
Monitor and track payment trends, providing reports as necessary.
Stay current with updates in medical billing codes, insurance policies, and industry regulations.
Process refunds and adjust billing accounts as necessary.
Qualifications:
High school diploma or equivalent required; Associate’s degree in Health Information Technology, Medical Billing, or related field preferred.
Medical Billing Certification (e.g., Certified Professional Biller [CPB], Certified Coding Specialist [CCS], or Certified Billing and Coding Specialist [CBCS]) strongly preferred.
5-10 years of experience in medical billing or coding, preferably in a healthcare setting.
In-depth knowledge of medical terminology, ICD-10, CPT, HCPCS codes, and medical billing procedures.
Familiarity with healthcare insurance plans, including Medicare, Medicaid, and private insurance.
Proficient in using medical billing software and electronic health record (EHR) systems. Eclinical, Tebra, Athena, ChiroTouch, and/or Nextgen Preferred
Strong attention to detail, organizational skills, and ability to handle sensitive patient information.
Certifications:
Certified Professional Biller (CPB) by the AAPC or similar certification preferred.
Certified Coding Specialist (CCS) by AHIMA or similar certification preferred.
Medical Billing Certification (CBCS) through NHA is a plus.
Skills:
Strong knowledge of medical billing and coding practices.
Excellent communication skills, both written and verbal.
Ability to work independently and as part of a team.
Problem-solving skills and the ability to manage and resolve disputes.
Proficiency in Microsoft Office (Excel, Word, Outlook) and other office software.