Medical Biller

Medical BillerLocation: Knoxville, TN Pay: $20.00–$22.00/hour Schedule: 8am-5pmPosition OverviewM Force Partners is seeking an experienced Medical Biller to support high-volume billing and revenue cycle activities for multiple healthcare entities in Knoxville, TN. This position is responsible for processing claims, following up with insurance carriers, resolving denials and billing discrepancies, and helping ensure accurate and timely reimbursement.The ideal Medical Biller has hands-on experience managing billing for multiple entities and working with a broad range of government and commercial payers. Candidates should be comfortable handling high claim volumes while maintaining accuracy across different payer requirements and billing processes.Key ResponsibilitiesManage medical billing activities across multiple healthcare entitiesPrepare, review, and submit medical claims to government and commercial insurance payersProcess and follow up on claims involving Commercial Insurance, Medicare, Medicare Advantage, TennCare, Medicaid, Medicaid Advantage, VA, and Humana MilitaryMonitor claim status and perform timely follow-up on unpaid, rejected, and denied claimsResearch and resolve insurance denials, billing discrepancies, and claim errorsCorrect and resubmit claims according to individual payer requirementsMaintain accurate patient demographics, insurance information, charges, payments, adjustments, and billing recordsReconcile billing activity and ensure transactions are properly recordedCommunicate directly with insurance carriers regarding claim status, eligibility, reimbursement, and billing issuesMaintain accurate documentation of claim activity and follow-up effortsManage a high volume of claims across multiple entities while meeting productivity and turnaround expectationsSupport accounts receivable and revenue cycle activitiesFollow payer-specific billing requirements and healthcare compliance standardsIdentify recurring claim or denial issues and assist with improving billing processesMaintain organized and audit-ready billing documentationRequired QualificationsHigh school diploma or GEDPrevious professional medical billing experienceExperience managing medical billing for multiple entities, practices, locations, or provider groupsExperience submitting, processing, and following up on medical insurance claimsExperience researching and resolving denied, rejected, and unpaid claimsWorking knowledge of government and commercial payer billing requirementsExperience with medical billing or practice management softwareStrong data entry skills with a high level of accuracyAbility to manage high claim volumes and multiple billing prioritiesStrong attention to detail, organization, and problem-solving skillsProfessional written and verbal communication skillsAbility to work 100% onsite in Knoxville, TNPayer ExperienceCandidates should have medical billing experience involving multiple payer types, including:Commercial InsuranceMedicareMedicare AdvantageTennCareMedicaidMedicaid AdvantageVAHumana MilitaryPreferred QualificationsExperience with Medicare, Medicaid, TennCare, VA, and military-related healthcare billingExperience with multiple healthcare entities or multi-provider organizationsFamiliarity with ICD, CPT, and HCPCS codesExperience with EHR and integrated medical billing systemsAccounts receivable or healthcare revenue cycle experienceMedical billing or coding certificationExperience identifying payer-specific denial trends and resolving complex reimbursement issues