Biller

Medical Claims ProcessorCore ResponsibilitiesCreate Claims: Turn medical information into insurance claims using correct billing codes.Submit to Insurance: Send claims to insurance companies electronically or by mail.Bill Patients: Send invoices to patients for copays, deductibles, or leftover balances.Fix Denied Claims: Investigate and appeal claims that insurance companies reject.Track Payments: Post incoming payments and update patient account records.Daily TasksCheck patient insurance coverage before appointments.Talk with insurance agents to check on claim progress.Set up payment plans for patients.Keep all patient data private under HIPAA rules.Reporting for office/update monthly for outstanding bills/paymentsThis is an in office position Mon-Friday 8a-430p, Saturday PRN 8a-12p. This is not a remote position.RequirementsEducation & ExperienceHigh school diploma or equivalent is the minimum requirement for entry-level roles.1 to 2 years of experience in a medical office, clerical role, or customer service setting is highly valued.Billing/Coder certification or degreeProfessional CertificationsCertified Professional Biller (CPB) – Offered by the AAPC.Certified Medical Reimbursement Specialist (CMRS) – Offered by the AMBA.Certified Medical Billing Specialist (CMBS) – Offered by the MAB.Key Skills & QualificationsMedical Coding Knowledge: Basic understanding of ICD-10, CPT, and HCPCS codes to read medical records and submit accurate claims.Software Proficiency: Familiarity with Electronic Health Records (EHR) and medical billing software (such as Epic, eClinicalWorks, or Azalea).Financial Literacy: Strong math skills for processing payments, calculating copays, and balancing accounts.HIPAA Compliance: Deep understanding of medical privacy laws to keep patient data secure.Communication: Clear communication skills to explain complex bills to patients and negotiate with insurance adjusters.