Medical Billing and Coding

About This Role

The Medical Biller ensures accurate and timely claim submissions, follows up on unpaid claims, and maximizes reimbursement while complying with payer guidelines. This role suits an experienced, detail-oriented professional to join a growing multi-location medical practice.

Responsibilities

• Review and correct claims prior to submission
• Follow up on denied, rejected, or unpaid claims with insurance companies
• Verify patient insurance eligibility and benefits when needed
• Work aging reports and identify trends in denials with recommendations for improvements
• Ensure compliance with all payer regulations and guidelines
• Communicate with front desk, billing team, and providers to resolve billing issues
• Assist with patient billing inquiries and payment plans as needed

Requirements

• Minimum 2+ years of medical billing experience
• Strong knowledge of CPT, ICD-10, and HCPCS coding
• Experience with payer portals (i.e. Medicare Connex, Availity, UHC, etc)
• Experience with EMR/PM systems
• Strong understanding of claim denials and appeals process
• Excellent attention to detail and organizational skills
• Ability to work independently and as part of a team

Nice to have:

• Understanding medical billing process and guidelines
• Experience in interventional pain management and vascular
• Knowledge of prior authorizations, predeterminations, and referrals

Benefits

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Opportunity for advancement
• Paid time off
• Health, dental, and vision benefits
• Paid time off and holidays
• 401K Retirement plans