Medical Biller

We are seeking an experienced medical biller/coder to join our team on-site and play a critical role in driving revenue cycle success. As a healthcare billing specialist, the person will serve as the primary subject matter expert for all billing and collections related matters within the office.

Key Responsibilities:

Claims Management:

• Prepare, review, and submit accurate medical claims to insurance companies.
• Follow up on unpaid or denied claims to ensure timely reimbursement.

Payment Processing and Collections:

• Post payments from insurance companies and patients.
• Reconcile accounts to ensure accuracy.
• Prepare accurate and timely patient billing statements.
• Coordinate collection activities to address past due patient balances.

Coding:

• Assign appropriate ICD-10, CPT, and HCPCS codes to patient services based on providers’ documentation.
• Ensures coded procedures, diagnoses, charges and documentation meet appropriate guidelines and standards.
• Stay updated with changes in coding regulations and ensure compliance.

Insurance Verification:

• Verify patient insurance coverage and benefits.
• Address and resolve any discrepancies or issues related to insurance claims.

Patient Communication:

• Respond to patient inquiries regarding billing and insurance.
• Provide clear explanations of charges and payment options.

Reporting:

• Generate and analyze reports related to billing activities, accounts receivable, and revenue cycle performance.

Internal Communication:

• Serves as the practice’s subject matter expert for all billing-related topics, proactively educating, coaching, and guiding providers and staff on billing policies, processes, and best practices.
• Regularly communicate updates and changes in billing regulations, offer actionable insights to improve billing accuracy, and collaborate with internal teams to address any billing-related concerns.
• Demonstrate tact and diplomacy when providing feedback and ensure all team members are well-informed to support a seamless revenue cycle.

Skills:

• Proficiency in medical billing from eClinical Works and Waystar.
• Proficiency in all claim edits and modifiers.
• Familiarity with coding systems such as , CPT, and HCPCS.
• Strong attention to detail with the ability to identify and resolve billing discrepancies.
• Excellent verbal and written communication skills for effective, professional interaction with patients, providers, and insurance companies.
• Ability to manage multiple tasks efficiently and meet deadlines.
• Ability to work independently.

Qualifications:

• Minimum of 2 years of medical billing experience in a primary care setting.
• Minimum of 2 years of Medicare Advantage billing experience including quality measure coding.
• Minimum of 2 years of experience with Medicare, Medicaid, and Commercial insurance plans.
• Minimum of 2 years of experience with AR and denials management.

Job Type: Full-time

Pay: $17.00 - $22.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee discount
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Experience:

• primary care billing: 2 years (Required)
• HEDIS coding: 2 years (Required)
• denials management: 2 years (Required)
• Accounts receivable: 2 years (Required)
• Insurance verification : 2 years (Preferred)
• payment posting: 2 years (Preferred)

Ability to Commute:

• Palm Harbor, FL 34684 (Required)

Work Location: In person

Salary : $17 - $22