Physician Biller II

Physician Biller IISeeking highly detail-oriented and performance-driven Physician Medical Billers to join our team. This role is responsible for accurate and timely billing, claims management, and accounts receivable follow-up across multiple client systems. Success in this position requires strong productivity, quality, and compliance performance in alignment with defined KPIs and service level agreements (SLAs).Key Responsibilities:Prepare, review, and submit medical claims (electronic and paper), including CMS-1500 (HCFA) claim forms for physician servicesEnsure accurate completion of all required CMS-1500 fields, including provider information, NPI, place of service, diagnosis codes (ICD-10), procedure codes (CPT/HCPCS), modifiers, and charge amountsVerify patient insurance eligibility and benefits prior to claim submissionIdentify and correct claim errors before submission to minimize denials and reworkManage accounts receivable, including denial follow-up, corrections, and timely resubmission of claimsReconcile accounts with payer remittances (EOBs/ERAs)Ensure compliance with payer-specific billing guidelines and federal regulationsCommunicate with providers, payers, and patients regarding billing discrepanciesWork across multiple billing systems (up to 4 client platforms)Salary & Benefits:Up to $24.00 per hour (dependent on experience)Medical/Dental/Vision health insurance offeredPaid Vacation/Sick/Holiday Time401KPosition Requirements:Demonstrated experience completing and auditing CMS-1500 forms for physician billingStrong understanding of claim form fields including: Box 21 (Diagnosis Codes) and proper sequencing Box 24 (Service line details including CPT/HCPCS, modifiers, charges, units, and rendering provider) Box 17/17b (Referring provider information when applicable) Box 31–33 (Billing provider, group information, and NPI accuracy)Ability to troubleshoot rejected or denied claims related to form errors, missing data, or payer-specific requirementsKnowledge of electronic claim equivalents (837P transactions) and clearinghouse editsEnsure claims meet "clean claim" standards prior to submission to maximize first-pass acceptanceStrong knowledge of: CPT (Current Procedural Terminology) codes ICD-10 diagnosis coding HCPCS Level II codes Proficiency in completing and reviewing CMS-1500 (HCFA) claim forms Experience with electronic claims (837P) and clearinghouses Familiarity with payer guidelines: Medicare Medicaid Commercial insurance plansPerformance Expectations (KPI & SLA Standards):Qualifications: Minimum 2+ years of physician medical billing experience Strong knowledge of CPT, ICD-10, and HCPCS coding Experience with EMR/EHR systems and billing platforms Familiarity with Medicare, Medicaid, and commercial payers Strong analytical, organizational, and problem-solving skills Ability to manage multiple systems and meet deadlines in a high-performance environmentProductivity credit is tied to quality (clean claims vs. rework) Coaching provided for productivity gaps; corrective action for quality/SLA issues Performance Improvement Plans (PIPs) may be implemented if standards are not metThis position is currently accepting applications.