Medical Biller and Coder

We are seeking a qualified and dedicated medical biller to join our administrative office. In this position, you will be responsible for a variety of tasks requiring data analysis, in-depth evaluation, and sound judgment. As our medical biller, your daily duties will include maintaining billing software, appealing denied claims, and recording late payments.

Key Responsibilities

• Prepare, review, and submit medical claims to insurance companies and other third-party payers.

• Verify patient demographics, insurance coverage, eligibility, and benefits.

• Enter and maintain accurate patient billing and insurance information.

• Review medical records and billing documentation to ensure charges are accurate and complete.

• Apply appropriate medical billing codes, including CPT, HCPCS, and ICD-10 codes, as applicable.

• Monitor submitted claims and follow up on unpaid, denied, or rejected claims.

• Investigate billing discrepancies and make necessary corrections or adjustments.

• Post insurance payments, patient payments, contractual adjustments, and other account transactions.

• Communicate with insurance companies, healthcare providers, and patients regarding billing and payment issues.

• Prepare patient statements and respond to billing inquiries in a professional manner.

• Maintain accurate and confidential financial and patient records.

• Assist with accounts receivable activities and collection of outstanding balances.

• Stay informed about changes in insurance policies, billing requirements, coding guidelines, and reimbursement procedures.

• Protect patient information and maintain compliance with HIPAA and other applicable regulations.

• Generate billing reports and assist management with monitoring outstanding accounts and reimbursement activity.

Qualifications

• High school diploma or equivalent; additional training in medical billing, coding, or healthcare administration is preferred.

• Previous experience in medical billing, healthcare administration, or a related field is preferred.

• Knowledge of medical terminology, insurance procedures, and healthcare billing practices.

• Familiarity with CPT, HCPCS, and ICD-10 coding systems.

• Strong attention to detail and accuracy.

• Good organizational, communication, and problem-solving skills.

• Ability to handle confidential patient and financial information responsibly.

• Proficiency with computers, billing software, electronic health records (EHR), and Microsoft Office or similar productivity tools.