Job Summary
We are seeking an experienced, detail-oriented, and certified Medical Biller to join our team. The ideal candidate will have a strong background in medical billing, coding knowledge, claims management, and insurance follow-up. This position offers a hybrid work schedule, allowing 2–3 days of remote work per week, with the remaining workdays performed in the office to support collaboration with clinical and administrative staff.
Salary to be discussed during interview.
Essential Responsibilities
- Prepare, review, and submit accurate medical claims to commercial insurance, Medicare, Medicaid, and other payers.
- Monitor claim status and resolve denied, rejected, or unpaid claims in a timely manner.
- Post insurance and patient payments accurately.
- Reconcile accounts receivable and maintain aging reports.
- Verify patient insurance eligibility and benefits when needed.
- Work closely with providers and Mid-levels to ensure complete and accurate documentation for billing.
- Identify billing trends and recommend process improvements to maximize reimbursement.
- Respond to billing inquiries from patients and insurance companies professionally.
- Maintain compliance with HIPAA and all applicable federal and state regulations.
- Assist with month-end reporting and other billing-related duties.
Qualifications
- Certified Professional Biller (CPB), Certified Coding Specialist (CCS), Certified Professional Coder (CPC), or equivalent certification required.
- Minimum of 3 years of recent medical billing experience (preferred).
- Experience with Medicare, Medicaid, and commercial insurance billing.
- Knowledge of ICD-10-CM, CPT, and HCPCS coding.
- Proficiency with electronic health records (EHR) and medical billing software.
- Strong understanding of insurance regulations and reimbursement methodologies.
- Excellent organizational, analytical, and problem-solving skills.
- Strong communication and customer service abilities.
- High level of accuracy and attention to detail.
Work Schedule
- Hybrid position.
- 2–3 days per week remote, based on performance and operational needs.
- Remaining workdays are required in the office.
- Remote work privileges are contingent upon maintaining productivity, accuracy, compliance, and timely communication.
Preferred Experience
- Physician services billing.
- Skilled Nursing Facility (SNF) billing.
- Long-Term Care (LTC) billing.
- Accounts receivable management.
- Insurance appeals and denial management.
- Experience working with clearinghouses and multiple EMR/EHR platforms.
Benefits
- Competitive salary based on experience.
- Paid Time Off (PTO).
- Health, dental, and vision insurance (if applicable).
- Retirement plan.
Compensation: Salary to be discussed during the interview.
Pay: $20.00 - $35.00 per hour
Work Location: Hybrid remote in San Antonio, TX 78249
