Medical Biller I

Medical Biller I

Rewarding career. Competitive salary. Outstanding benefits.

Medical Biller I is responsible for supporting the billing and accounts receivable functions within Patient Financial Services. This position assists with basic billing tasks, claim processing, and follow-up activities under the guidance of senior staff. The Medical Biller I works with patients, insurance payers, and internal departments to ensure accurate account handling and a positive patient financial experience. This role is designed to build foundational knowledge of hospital billing processes within a Critical Access Hospital (CAH) environment.

Standard Expectations

• Promotes a Positive Working Environment
  • Conducts oneself in line with organization's mission, values and standards of behavior.
  • Accepts change and challenges with a positive attitude.
  • Consistently adheres to organizational policy.
• Communicates Effectively
  • Builds relationships and works collaboratively with other staff.
  • Provides timely operational updates to supervisor.
  • Responds to communications in a timely manner.
• Performs Duties Efficiently and Effectively
  • Follows procedures.
  • Acts in compliance with applicable federal, state, and local regulations.
  • Performs other duties as assigned.

Area Of Responsibility

Duties & Responsibilities

Patient Interaction and Customer Service

• Serve as a point of contact for patient billing inquiries, providing courteous and clear communication
• Educate patients on their financial responsibility, insurance coverage, and payment options
• Direct complex patient concerns to appropriate senior staff
• Support patients with payment options and assist them with financial assistance resources as needed
• Direct complex patient concerns to appropriate senior staff with professionalism and empathy

Billing & Claims Submission

• Assist with preparing and submitting claims (UB-04 and/or professional) under supervision
• Review accounts for completeness and accuracy prior to claim submission
• Identify and report claim edits, holds, or errors to senior billers for resolution
• Support timely processing of primary and secondary claims

Accounts Receivable & Payer Follow-Up

• Perform routine follow-up on outstanding claims as assigned
• Review claim status using payer portals or internal systems
• Assist in identifying unpaid or denied claims and perform follow workflows
• Document account activity accurately and consistently
• Contact payers for additional information via phone call or portal communication.
• Research and resolve denials related to coordination of benefits, eligibility, patient questionnaires, and other common denials
• Escalate complex reimbursement issues to Medical Biller Lead or Sr. Manager of Billing and Reimbursement

Denials Management & Revenue Protection

• Research and resolve basic denial categories such as eligibility, authorization, and billing errors
• Identify and Route complex denials to appropriate team members based on issue type
• Research and resolve hospital billing denials using Epic and internal workflows
• Maintain clear and compliant account documentation within Epic.

Epic HB System Responsibilities

• Utilize Epic work queues and tools to complete assigned tasks.
• Maintain accurate account notes, claim statuses, and follow-up actions in Epic.
• Report system issues or workflow concerns to supervisor
• Follow established workflows for account handling

Compliance, Audit & Reimbursement Support

• Follow all applicable billing regulations and payer requirements
• Maintain patient confidentiality in accordance with HIPAA
• Adhere to hospital policies and compliance standards
• Participate in training and skill development activities

Team Support & Cross-Coverage

• Provide support to team members as needed
• Participate in department meetings and training sessions
• Demonstrate a willingness to learn billing processes and systems
• Cross-train in basic functions within Patient Financial Services as assigned

Qualifications

Required

• High school diploma or GED
• Basic computer skills and familiarity with Microsoft Office
• Strong attention to detail and willingness to learn
• Good communication and customer service skills

Preferred

• Prior healthcare or billing experience
• Basic knowledge of medical terminology
• Exposure to electronic medical record systems such as Epic
• Coursework in medical billing or healthcare administration

Work Environment And Physical Demands

This position is primarily worked in an office environment. Primarily stationary with occasional standing, walking, lifting, reaching carrying, kneeling, bending, stooping, pushing and pulling of objects weighing up to 20lbs. The position requires continuous finger dexterity and fine manipulation.

The employee must demonstrate the ability to perform the essential functions of the position, with or without reasonable accommodation.

If you are looking for a rewarding career with a great team, you'll enjoy your career with us!

Position Details

Hours per week: 40

Employee Status: Regular Full Time

Shift: Day Shift (United States of America)

Pay Range: $21.00 - $36.75

Actual pay offered will vary based on years of experience.

Employee Benefits

Our benefit package includes medical, dental, vision, life insurance, and retirement options (403(b) & 457). Medical insurance coverage begins on day one and is available to both full time and part time employees. Additionally, employees receive discounts on medical services provided by Whitman Hospital and Medical Clinics. Differentials apply for evening, night, and weekend shifts. Our unique PTO plan enables employees to increase their accrual with each year of service!

Whitman Hospital and Medical Center