Medical Biller – Primary Care Practice
Job Title: Medical Biller
Department: Billing/Revenue Cycle
Reports To: Practice Manager or Billing Supervisor
Location: Hagerstown, MD
Employment Type: Full-Time/Part-Time
Job Summary
The Medical Biller is responsible for managing the billing process for a primary care practice, including claim submission, payment posting, insurance follow-up, and patient billing. This role ensures accurate coding and billing, timely reimbursement, and compliance with healthcare regulations.
Key Responsibilities
- Prepare and submit electronic and paper insurance claims for primary care services.
- Verify patient insurance coverage and benefits before claim submission.
- Review patient charts for completeness and billing accuracy.
- Post insurance and patient payments into the practice management system.
- Investigate and resolve claim denials and rejections.
- Follow up with insurance companies regarding unpaid or underpaid claims.
- Generate and send patient statements and manage patient billing inquiries.
- Coordinate with front desk staff and clinical providers to correct billing issues.
- Maintain accurate billing records and documentation.
- Ensure compliance with HIPAA and payer billing guidelines.
- Assist with monthly billing reports and revenue tracking.
Required Qualifications
- High school diploma or equivalent required.
- 1–3 years of medical billing experience, preferably in a primary care setting.
- Knowledge of CPT, ICD-10, and HCPCS coding systems.
- eClinicalWorks (eCW) experience is required and practice management software.
- Familiarity with Medicare, Medicaid, and commercial insurance billing.
- Strong attention to detail and organizational skills.
- Excellent communication and problem-solving abilities.
Preferred Qualifications
- Certification such as Certified Professional Biller (CPB) or Certified Professional Coder (CPC).
- Experience with primary care billing workflows.
- Knowledge of medical terminology and healthcare reimbursement processes.
Skills
- Insurance claim management
- Denial resolution
- Patient billing and collections
- Data entry and accuracy
- Time management and multitasking
- Customer service and patient communication
Physical Requirements
- Prolonged periods of sitting at a desk and working on a computer.
- Ability to handle standard office equipment.
