The Medical Biller is responsible for the accurate collection, posting, and management of patient and insurance payments. This role oversees charge entry, coding, claims submission, payment processing, and insurance follow-up activities for multiple physicians. The ideal candidate is detail-oriented, highly organized, and experienced in medical billing, coding, and revenue cycle management.
Essential Responsibilities
- Prepare and submit insurance claims electronically and/or via paper to various payers.
- Enter and maintain accurate patient demographic and insurance information in the billing system.
- Process and post payments received from patients and insurance companies.
- Review, prepare, and distribute patient billing statements.
- Respond professionally to inquiries from patients, insurance companies, physicians, accounting staff, and other team members.
- Investigate, identify, and resolve patient billing concerns and account discrepancies.
- Evaluate patients’ financial situations and establish appropriate payment arrangements when necessary.
- Monitor delinquent accounts and report collection activity status to management.
- Review accounts for possible collection action and provide recommendations to the Billing Manager and Executive Director.
- Prepare and submit documentation to collection agencies when applicable.
- Perform collection activities, including contacting patients regarding outstanding balances and correcting and resubmitting denied or rejected claims.
- Generate billing, aging, and collection reports as requested by the Billing Manager or Executive Director.
- Maintain system backups and ensure billing records are accurate and secure.
- Attend staff meetings, training sessions, and continuing education programs as required.
- Adhere to all organizational policies and procedures outlined in the Employee Handbook.
- Maintain strict confidentiality of patient and organizational information and comply with all HIPAA regulations.
Qualifications
Required Skills and Knowledge
- Strong knowledge of medical billing and collection procedures.
- Intermediate understanding of ICD-10, CPT, and medical terminology.
- Knowledge of third-party payer regulations, policies, and reimbursement practices.
- Proficiency in medical billing software, Microsoft Word, and Microsoft Excel.
- Strong analytical, problem-solving, and organizational skills.
- Excellent attention to detail and accuracy.
- Ability to operate standard office equipment, including computers, copiers, fax machines, and multi-line telephone systems.
- Excellent customer service and communication skills.
- Ability to establish and maintain effective working relationships with patients, physicians, staff, and the public.
Education and Experience
Required
- Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent coding certification.
- Minimum of three (3) years of experience in medical billing and coding.
- Proficient knowledge of medical terminology.
Preferred
- Associate degree or higher in a related field.
- Three to five (3–5) years of medical billing experience.
- Experience using EPIC electronic health record (EHR) and billing systems.
Additional Requirements
- Demonstrated commitment to maintaining the confidentiality of patient and organizational records.
- Proficiency with basic computer applications and office technology.
- Ability to manage multiple priorities in a fast-paced environment while maintaining accuracy and professionalism.
Work Environment and Physical Requirements
The work environment characteristics described below are representative of those encountered while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform these functions.
- Work is primarily performed in an office setting during normal business hours.
- Ability to remain calm, professional, and courteous in stressful situations.
- Frequent sitting, standing, bending, reaching, and lifting of files and office materials.
- Subject to frequent interruptions and changing priorities.
- Regular interaction with patients, family members, physicians, nursing staff, medical assistants, office personnel, and department leaders.
- Participation in required meetings, training programs, and continuing education activities.
Pay: From $21.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Work Location: In person
