Job Summary
We are seeking a dynamic and detail-oriented Clinical Administrator & Biller to join our healthcare team. In this vital role, you will oversee the administrative functions of the clinical practice, ensuring smooth operations and accurate billing processes. Your expertise in medical coding, insurance claims, and electronic health record systems will be essential to delivering exceptional patient service and maintaining compliance with healthcare regulations. This position offers an exciting opportunity to contribute to a thriving healthcare environment while utilizing your skills in medical administration and billing.
Duties
- Manage daily clinical administrative tasks, including scheduling appointments, patient check-ins, and maintaining medical records with accuracy and confidentiality
- Process medical billing and coding using CPT (Current Procedural Terminology), ICD-9, ICD-10, DRG (Diagnosis-Related Group), and ICD coding standards to ensure precise reimbursement
- Verify insurance coverage, submit healthcare claims, and follow up on unpaid or denied claims using billing software and EMR/EHR systems
- Maintain comprehensive documentation of medical records, patient histories, and treatment notes in compliance with healthcare regulations
- Collaborate with healthcare providers to ensure proper coding for procedures and diagnoses, supporting accurate billing and reporting
- Utilize Microsoft Office tools as well as other programs to generate reports, track billing statuses, and manage administrative workflows efficiently
- Provide excellent customer service by addressing patient inquiries related to billing, insurance claims, and medical records promptly and professionally
Requirements
- Proven experience in a medical office setting with strong knowledge of healthcare claims management and medical billing processes
- Familiarity with medical coding systems including CPT, ICD-9, ICD-10, DRG, and ICD coding standards
- Proficiency in EMR (Electronic Medical Records) systems and EHR (Electronic Health Record) platforms for managing patient data
- Strong understanding of health insurance policies, medical terminology, and medical records management
- Skilled in using Microsoft Office applications such as Word, Excel, and Outlook for administrative tasks
- Excellent customer service skills with the ability to communicate effectively with patients, providers, and insurance companies
- Ability to interpret complex medical documentation accurately and ensure compliance with regulatory requirements
- Prior experience with healthcare claims management software is preferred
Join us as a Clinical Administrator & Biller to play a pivotal role in streamlining clinical operations while ensuring accurate financial processes. Your dedication will directly impact patient satisfaction and the financial health of our practice. We value proactive professionals eager to make a difference in healthcare administration!
Pay: $24.00 per hour
Benefits:
Work Location: Hybrid remote in Concord, MA
