Job Summary
We are seeking a detail-oriented and highly skilled Medical Biller to join our healthcare administrative team. The ideal candidate will possess a comprehensive understanding of medical billing processes, coding systems, and insurance claim procedures. As a Medical Biller, you will be responsible for accurately submitting claims, managing accounts receivable, and ensuring timely reimbursement for healthcare services rendered. Your expertise will help optimize revenue cycle management and support the financial health of our medical practice.
Duties
- Prepare and submit accurate insurance claims using billing software and electronic health record (EHR) systems, ensuring compliance with medical coding guidelines.
- Utilize ICD-9, ICD-10, CPT, and DRG coding to classify diagnoses and procedures correctly for inpatient and outpatient services.
- Review medical records and documentation to verify the accuracy of billing information and ensure proper coding for all services provided.
- Follow up on unpaid or denied claims with insurance companies and third-party payers to facilitate prompt resolution and payment.
- Maintain detailed records of billing activities, payments received, and outstanding balances within the revenue cycle management system.
- Stay current with changes in health insurance policies, medical coding standards, and regulatory requirements affecting billing practices.
- Collaborate with medical office staff to ensure accurate entry of patient information, insurance details, and service codes in EMR/EHR systems.
- Assist in training staff on billing procedures, coding updates, and compliance protocols to improve overall efficiency.
Qualifications
- Proven experience in medical billing with a strong understanding of ICD-9, ICD-10, CPT coding, and DRG classifications.
- Knowledge of health insurance claim processing, third-party billing procedures, and revenue cycle management best practices.
- Familiarity with billing software platforms as well as EMR/EHR systems used for electronic health record management for billing and coding purposes.
- Strong understanding of medical terminology, medical records management, and coding guidelines for inpatient and outpatient services.
- Excellent attention to detail with the ability to analyze complex medical documentation accurately.
- Prior experience in a medical office environment or healthcare setting is preferred.
- Ability to adapt quickly to changes in healthcare regulations and maintain compliance standards at all times.
Join our team as a Medical Biller to play a vital role in ensuring efficient revenue cycle operations while supporting high-quality patient care through precise billing practices!
Pay: $18.00 - $20.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Employee assistance program
- Referral program
Application Question(s):
- Do you have experience preparing and submitting both electronic and paper insurance claims?
- Are you able to work independently while managing multiple tasks and deadlines?
- Briefly describe your process for reconciling benefits and posting payments from third-party payors.
Experience:
- Athenahealth : 1 year (Preferred)
Ability to Commute:
- Southfield, MI 48076 (Required)
Work Location: In person
