Medical Biller

Job Description

About the Role:

We are seeking a detail-oriented and highly organized Medical Biller to join our growing team. In this role, you will be responsible for managing the full medical billing lifecycle: from eligibility verification and claim submission to payment posting and follow-up, while providing excellent service to both patients and internal stakeholders. This is a great opportunity for someone who thrives in a collaborative, fast-paced environment and takes pride in accuracy, compliance, and patient advocacy.

Key Responsibilities:

Verify patient insurance eligibility and benefits
Review medical coding prior to claim submission to ensure accuracy and compliance
Prepare, review, and submit medical claims using billing software, including both electronic and paper claims
Review patient invoices for accuracy
Follow up on unpaid or underpaid claims within designated timeframes
Review insurance payments for accuracy and compliance with payer contracts
Contact insurance companies to resolve payment discrepancies when needed
Identify and submit claims to secondary and tertiary insurance carriers
Review accounts for insurance and patient follow-up
Research, appeal, and resolve denied or rejected claims in a timely manner
Respond to patient and insurance inquiries related to assigned accounts via phone
Set up patient payment plans and manage collection accounts as appropriate
Monitor assigned accounts to ensure appropriate and timely reimbursement
Communicate effectively with clients, internal support staff, and account managers as needed
Maintain strict patient confidentiality in accordance with HIPAA regulations

High school diploma or equivalent
Experience with medical billing and claims processing
Competency in outpatient and inpatient medical coding
Working knowledge of CPT and ICD-10 coding
Familiarity with insurance guidelines, including HMO/PPO plans, Medicare (MIPS/MACRA), Medicaid, and other payer requirements
Proficiency with computer systems and electronic medical billing software
Strong verbal and written communication skills
Ability to multitask, prioritize work, and manage time effectively
Strong problem-solving skills and attention to detail
Ability to work collaboratively in a team environment
Knowledge of medical terminology commonly used in medical billing
Commitment to maintaining patient confidentiality in compliance with HIPAA

Experience with E-Clinical and Tebra
Prior experience communicating directly with insurance payers to resolve discrepancies
Customer service experience working directly with patients and families
Experience setting up patient payment plans and managing collections
Demonstrated ability to research, appeal, and resolve denied or rejected claims
Experience working in a remote or fast-paced healthcare environment
Commitment to continuing education and staying current with billing and coding updates

Benefits: 

• Flexible schedule
• Paid time off
• Health Insurance
• 401K Matching

Schedule: 

• Monday to Friday

Work Location: Remote